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As with most cosmetic procedures, patients undergoing eyelid surgery (blepharoplasty) are given either general anesthesia, which will require a longer stay at the medical facility and a person to take care of the patient for 24 hours following surgery, or they are given local anesthesia and a sedative, so they are awake but they cannot feel the area being operated on and they are much calmer about the procedure because of the sedative. Blepharoplasty can be done on either the upper or lower eyelids or all four.
More on eyelid surgery blepharoplasty and lower eyelid surgery