@drummergirl, Good points. I should explain how mine came about.

My first blepharoplasty was done by a board certified plastic surgeon in his surgical unit with an anesthesiologist and nurse. IV sedation and I was out. He did both eyes upper and lower lids.

Fast forward about 14 years. I developed Ptosis. You couldn’t tell I had had my upper lids done. I had it done by a board certified ophthalmologist plastic surgeon in a major hospital operating room. Supposedly had IV sedation, but I never went to sleep. Was aware of everything going on and even asked for more local cause I was hurting. Lol. She lifted the tendon in the eyelids to pull them up. She removed more skin as well. This is really what I needed the first time.

After I was healing, it became obvious the left eye wasn’t quite right and so she adjusted the tendon in my revision surgery in her office with local.

I agree that the surgery either caused or exacerbated my dry eye. If warned would I had done it? I’m not sure.

@drummergirl
I have had the surgery done on both lids, twice on the right eyelid. My last procedures were in 2021. I had a plastic surgeon who specializes in blepharoplasty and did the surgery in a room where they do surgical procedures in the eye clinic. They also have attached operating rooms but we didn't need to use that option. He numbed the eyelid before removing the excess skin on my eyelids. He wanted me awake during the procedure so I could open and close my eyes. Being awake ensures precise, symmetrical results. The surgery lasted less than an hour. My lids were black and blue for a few weeks but I have been extremely pleased with the "new" look. I have severe glaucoma, worse in the right eye and could barely see before the surgery. My eyes do feel dry but I keep artificial tears close at hand and use warm compresses before bed occasionally.