Oculoplastic surgeons are fortunate that most of the operative procedures can be performed with local anesthesia. With the exception of orbital or endoscopic brow procedures, the ability to operate on or around the eyelids for functional or aesthetic reasons is usually limited only by the patient's age, significant medical problems, and/or ability to tolerate a more conscious state during surgery. For many of these procedures, the patient's anesthetic needs are low, and surgery can be performed in an office setting using local anesthesia in conjunction with an oral anxiolytic and analgesic.
Vagefi MR, Lin CC, McCann JD, Anderson RL. Local Anesthesia in Oculoplastic SurgeryPrecautions and Pitfalls. Arch Facial Plast Surg. 2008;10(4):246-249. doi:10.1001/archfaci.10.4.246