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Why does Dr. David Rapaport, board-certified plastic surgeon and founder of Aethos New York, always require IV anesthesia (with a board-certified anesthesiologist) for lower-eyelid surgery? In this video, he explains his philosophy of safety and preparation when performing delicate procedures around the eyes. Dr. Rapaport discusses: The key difference between oral sedation and IV anesthesia during surgery Why lower-eyelid blepharoplasty is performed near critical structures like the orbital fat and eyeball How uncontrolled bleeding under local anesthesia can increase risk — even potentially cause blindness (though extremely rare) Why having an anesthesiologist managing blood pressure and sedation in real time ensures maximum patient safety His surgical philosophy: “Always think ahead. Plan for safety, not convenience.” This video highlights why anesthesia decisions aren’t one-size-fits-all — and why choosing a careful, experienced surgeon makes all the difference. 🔹 Subscribe for more surgical safety insights and patient education from Dr. David Rapaport. 🔹 Contact Aethos NYC to schedule a consultation for eyelid or facial surgery.