@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.