Surgery is performed at an accredited surgery center in Newport Beach, California, USA. Under the care of a Board Certified Anesthesiologist, upper eyelid procedures are typically performed under sedation with local anesthesia. I find that patients are very comfortable with this type of anesthesia, which allows them to breathe on their own while remaining pain-free and comfortable. On the other hand, general anesthesia (fully asleep) is used during lower eyelid blepharoplasty in order to ensure maximal comfort and safety. Lower eyelid procedures are often a bit more involved and stimulating, thus requiring a deeper level of anesthesia.
The incisions for both upper and lower eyelid procedures are placed in the natural eyelid creases, rendering them imperceptible during daily conversation.