There are different kinds of approaches for eyelid surgery. Depending on your expectations your plastic surgeon will suggest to which procedure you are most fitted for.
Anesthesia
Eyelid surgery is done under general anesthesia, although there are some variants of a blepharoplasty that may be done with sedation or even local anesthesia. Ultimately it will be up to the plastic surgeon along with the anesthesiologist to evaluate and recommend the best option for you.
Incisions & Sutures
The incisions are designed over the natural crease of the eyelids in order to hide the scars on the folds of the eyelid region. Extra skin may be removed along with fat deposits and muscles may be tighten.
On the lower eyelids two different approaches can be made. An incision can be made over the lower line of the eyelash to remove excess skin and fatty tissue. In other cases an transconjunctival incision is made inside the lower eyelid when no skin is required to be removed.
Right After Surgery
After the surgery is done and you have woken up from the anesthesia, you will have cold dressings over your eyes. They will be kept on for at least 2 hours after the procedure while you remain in the recovery room.
Once you are fully out of the anesthesia effects, you will be offered liquids to ensure that you tolerate them. A few hours after the procedure, when the cold dressings over the eyes are off, you will be able to go back to your hotel / home.
Before You Leave the Hospital
Around 7 hours after your surgery your plastic surgeon will come to assess your health condition and give you proper care instructions to take back home. It’s normal that you will be prescribed with eyedrops, painkillers and antibiotics during the healing process. Your surgeon will give you a check up appointment during the following days to remove your stitches.