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Blepharoplasty is performed under local anesthesia, local anesthesia with intravenous sedation, or general anesthesia. In his practice, Dr. Amiya Prasad prefers to use intravenous sedation with LITE™ IV sedation, to allow patients to experience a faster recovery period. Upper eyelid blepharoplasty addresses the eyelid crease and any excess skin on the eyelids. If needed, additional fat and soft tissue can be sculpted into the area to improve its appearance. Lower eyelid blepharoplasty addresses saggy, puffy and tired-looking skin under the eyes. This procedure can be executed in two different ways: (1) from the outside (transcutaneous approach) and (2) from the inside (transconjunctival approach). When considering which type of procedure to undergo, make sure you choose a surgeon with a significant amount of knowledge and experience, as well as advanced eyelid surgery techniques, as lower eyelid surgery can negatively impact the appearance of the lower eyelid if not done properly. For more information upper eyelid surgery, go to: http://prasadcosmeticsurgery.com/pras... For more information on lower eyelid surgery, go to: http://prasadcosmeticsurgery.com/pras... For more information on transconjunctival blepharoplasty, go to: http://prasadcosmeticsurgery.com/pras... For more information on LITE™ Anesthesia, go to: http://prasadcosmeticsurgery.com/dr-p...