I’ve had it done both ways. I had no problem with having it done in the office with just a local. It was a revision of the blepharoplasty I had a couple of months earlier. It wasn’t quite perfect, so the doctor fixed it in the office. I saw no need to have the whole sedation thing again. Mainly, because I was completely awake when I had it done in the hospital with light sedation. Something happened to my drugs. Lol.

I also had my first blepharoplasty quite a few years ago with deep IV sedation. Not general though.

I didn’t find the numbing injection that painful, but I have had Botox. Lol.

Good luck. I would do it again with no hesitation.