Awake Blepharoplasty

An Awake Blepharoplasty only refers to the type of anesthesia used during the plastic surgery (i.e. local instead of general). The eyelid surgery technique utilized for the Upper Blepharoplasty or Lower Blepharoplasty will vary by individual.

Awake Blepharoplasty Overview - Everything You Need to Know

The Skinny

Awake Blepharoplasty
avg. recovery
5 weeks
Is permanent
Surgical Procedure
$1500 - $5000

About the Procedure

Last Updated: 09.25.2021

An Awake Blepharoplasty refers to the use of local anesthesia instead of general anesthesia during the Blepharoplasty surgery. Depending on the candidate, anesthesiologist, and plastic surgeon, one of numerous Upper Blepharoplasty or Lower Blepharoplasty eyelid surgery techniques can be used. There are different types of anesthesia that can generally be broken down into general anesthetics and local anesthetics. General anesthesia is an intravenous sedation (through an IV line directly into the bloodstream) in which an anesthesiologist carefully monitors vital signs to ensure a patient is appropriately sedated. In the Awake Blepharoplasty, a patient undergoes "conscious sedation" or twilight anesthesia with the addition of regional anesthesia or local anesthetics. As in traditional Upper Blepharoplasty or Lower Blepharoplasty plastic surgeries, skin, fat, and muscle will be altered to create natural appearing improvements to the upper eyelid or lower eyelid. The “awake” component means only local anesthesia is administered. Tumescent fluid is often used, and is a combination of epinephrine, local anesthetics, and saline.

The goal of an awake blepharoplasty is to restore the appearance of a more youthful upper and/or lower eye area without general anesthesia.


Awake Blepharoplasty addresses concerns such as:

Recovery Notes

The recovery time associated with an Awake Blepharoplasty only differs in the immediate post operative experience. Without general anesthesia, patients can expect to feel better more quickly while still at the plastic surgery facility. Long term recovery remains unchanged with limitations on contact lense use, strenuous activities, and sun exposure.

Ideal Candidate

The ideal candidate for an Awake Blepharoplasty has minor signs of aging of the upper eyelid or lower eyelid, and does not require a more traditional Blepharoplasty technique for extensive lid corrections.

Not Recommended For

An Awake Blepharoplasty is not recommended for candidates with severe signs of aging, poor skin laxity, or more significant upper eyelid or lower eyelid functional concerns that require longer Blepharoplasty surgery time.

Side Effects

Potential side effects from an Awake Blepharoplasty include discomfort during the procedure, bruising, swelling, bleeding, tenderness, difficulty closing the upper lid or lower lid, blurred or double vision, and scarring.


  • Less initial downtime
  • No general anesthesia


  • Not available for all blepharoplasty techniques
  • No reduction in long-term recovery time
  • Possible discomfort during procedure