Is blepharoplasty done with general anesthesia or local? do i have to have general anesthesia during blepharoplasty, or is it done with a local?

Blepharoplasty, : Blepharoplasty, also known as eyelid surgery, is usually done as an outpatient procedure. Most often it is done with a local anesthetic with intravenous sedation. Occasionally a general anesthesia is given, if there are medical conditions that warrant this. The procedure last between 60-90 minutes depending on whether the upper and/or lower eyelids are done.

Blepharoplasty : Blepharoplasty can be done with only local anesthesia, sedation or general anesthesia. Upper eyelid surgery alone is commonly done with just local. Lower eyelid surgery is less commonly done this way but it's certainly possible. A lot depends on what type of incision(s) are being used and your preferences.

Both: If upper eyelid surgery is performed alone, it can be done under local. I prefer to do lower eyelid surgery under general anesthesia or IV sedation. http://www.dassmd.com/eyelid-surgery/index.html.

Either way: It depends on your surgeon' spreference, your level of anxiety and the event of what is to be done. In general, the lower blepharoplasty is done under general anesthesia because it is better controlled, local anesthesia does not always work, it is much more delicate and risky than the upper blepharoplasty.

Light sedation: Many surgeons like myself have been doing upper and lower lid blepharoplasty under a light oral sedation with local anesthesia. It is the exception that i might use IV sedation for blepharoplasty and never under general. It depends on surgeon preference and experience.

See below: Usually done with ivv sedation and not general anesthesia.

Either: Either is fine. Go with what you want.