What kind of local anaesthesia is usually used for doing blepharoplasty? And what kind of oral sedation or IV sedation is used?

The choice of anesthesia during eyelid surgery is made by the patient in consultation with their physician. Upper eyelid surgery is easily performed with local anesthesia alone, although some patients opt for IV sedation in order to manage their anxiety or 'fear of discomfort'. Uncomplicated lower eyelid surgery can also be performed under local anesthesia, however I suggest sedation anesthesia for a majority of my lower eyelid patients. General anesthesia is rarely ever necessary. Surgery can be performed in office or in an ambulatory surgery center setting. Best wishes.

I use sedation anesthesia for eyelid surgery. Local anesthetics such as Lidocaine or Xylocaine (same compounds) can burn and be painful during injections. The patient can move away from the injection causing the needle to move.We use an anesthesiologist to administer Propofol to put the patient in a twilight state so they are not in pain or moving during the procedure.Hope this helps.

In my clinic, we often perform blepharoplasty in office under local anesthesia. We offer oral medication prior to the procedure which includes low dose Valium and pain medication. These take effect for about 45 minutes prior to procedure start to decrease overall anxiety and make the procedure more comfortable. The eyelids are then numbed with a local injection Lidocaine/Marcaine mix. Certain providers will use different combinations of local numbing solution. A mix with a longer lasting numbing (Marcaine) medication are nice for the patient in the post operative peroid. Xylocaine and Lidocaine are the same. 

The type of anesthesia used for a blepharoplasty depends in a few factors. Many patientschoose to have the procedure done in the office with just local anesthesiabecause they are uncomfortable with general anesthesia for one reason oranother. Often, cost is a factor as well. Local procedures, using lidocaine,are often less expensive when compared to surgeries that require generalanesthesia. It also depends on whether or not the patient is comfortable beingawake during the procedure. Some patients are not comfortable hearing andpossibly seeing certain things during surgery, which will happen if theirsurgeon is only using a local anesthetic. For local procedures, we oftenprescribe anti-anxiety medical to help patients feel more relaxed during theprocedure. 

Xylocaine is the trade mane of Lidocaine. They are the same. I usually mix Lidocaine with Bupivacaine (both with epinephrine) so that I get a rapid onset (from the Lidocaine) and longer duration (from the Bupivacaine). When I'm in the office, I use oral valium. For twilight anesthesia, it's often Versed and or Propofol. My choice is based on what we are doing and patient preference. I prefer twilight for lower blepharoplasty since I often transpose fat and resuspend the obilularis muscle. That's a bit much for local alone.

Lidocaine and xylocaine are the same drugs. I typically use the local anesthetic (Lidocaine 1%) and combine that with Valium for my upper eyelid cases. its rare that an IV sedation is to be used for something that's rather simpler. if a patient is not comfortable enough with these 2 drugs then  one can consider propofol infusion. it adds to the cost as it has to be administered by the anesthesiologist and that adds to their fee and time as well.