Thanks for your question regarding blepharoplasty under local. The piece of information I don’t have however is are you interested in doing you upper or lower eyelids? I’ll just answer both. An upper eyelid blepharoplasty can easily be done under local anesthesia and we almost always do it that way. About half of patients also choose to take a little relaxation pill also. It is the patients choice. Lower eyelid blepharoplasty can be done under local, but we usually do not. Because we usually use an internal incision for our lower eyelid procedures and because the lower eyelid almost always requires some kind of volume augmentation for the orbital rim/upper cheek, it is much better tolerated under IV sedation and local anesthesia.