thank you for your question. you're askingif it's possible to have eyelid surgery without general anaesthesia, and you state in yourquestion that your eyelids are floppy, and that you also have vision issues. you alsostate that your prescription is -3 for both eyes. well, i can certainly help you with that.i'm a board-certified cosmetic surgeon and a fellowship-trained oculoplastic or oculofacialplastic surgeon, which means that my first area of training was in eye surgery, beforeadvanced training in cosmetic and reconstructive surgery of the eyelids. in addition, i'vebeen practicing in long island and manhattan for over 20 years.
i can certainly tell you that it is very muchpossible to have eyelid surgery without general anaesthesia. this was one of the things thati really advocated from an early stage in my career over 20 years ago, and it has alwaysbeen my observation, and this is a controversial issue, that in the field of cosmetic surgery,many of the challenges with patience experience and recovery had more to do with anaesthesiathan it had to do with the actual surgery. so, what i developed over this time framehas been a system where we routinely perform cosmetic upper and lower eyelid surgery, facelifting surgery, liposuction, breast augmentation, hair transplants, all under local anaesthesiawith light sedation. so in terms of eyelid surgery, what we dofor our patients routinely is, and just to
describe what our patients experiences arelike, is we have our own joint commission-approved facilities in our offices, in both manhattanand long island. what this means is what we've done is replicate the standards, or utilizethe standards, of safety used for hospitals and surgery centers, and created facilitieswhere we have everything as if we were in a hospital. eyelid surgery is actually very straightforward.performing it under local anaesthesia or local sedation is not that difficult in the handsof someone with a lot of experience and facility in doing the procedure. so it is routine forour practice, for our patients, to do upper eyelid surgery such as what would be indicatedfor you in this type of situation. we don't
do general anaesthesia for this, and we havethe facilities. we kind of have the best of all worlds in doing that. i would also add that recovery is considerablyfaster this way. the reason for this is that when people have general anaesthesia, theybasically often wake up coughing or they may be nauseous from the medications. with localsedation, that really doesn't happen very much at all. we don't use opioids in our practicefor sedation—we don't really feel that we need to. it’s available if we have to, butreally it's been many years since we've had to use these, and these are the drugs thatare like fentanyl, demerol, codeine—these are associated with post-operative nauseaand vomiting. so by eliminating the opioids
altogether, there's been no problem. so, to answer your question, the answer isyes, it is possible, and that the results can be very nice and the recovery can be mucheasier. so with that being said, i would recommend that you meet with qualified and experiencedcosmetic surgeons who are comfortable with performing the surgery this way, and findsomeone you're comfortable with, that you like the results in terms of before and afterpictures. and it's very important in my opinion that people really feel comfortable with theirdoctor, and that they feel like the doctor gets what they want. as a specialist, i dorevision eyelid surgery for patients around the world, and very often i feel like there'sa disconnect between what the patient wants
and what the doctor believes they want. itjust takes time to develop this type of rapport and have this clarity of communication. soi hope that was helpful and i wish you the best of luck. thank you for your question.
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