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Peribulbar anesthesia for blepharoplasty
Sergio Lessa1, Carlos Alberto Passarelli
1Oculo-Plastic Surgery, 1st Infirmary of Santa Casa da Misericórdia do Rio de Janeiro, Oculo-Plastic Surgery, 38th Infirmary of Santa Casa de Misericórdia do Rio de Janeiro/Catholic, University of Rio de Janeiro, Brazil. s.lessa@alternex.com.br
Aesthetic Plastic Surgery
|August 4, 2007
Summary
Inferior peribulbar anesthesia provides a pain-free experience for blepharoplasty patients. This safe and effective technique, used in 788 cases, offers excellent results for eyelid surgery.
Area of Science:
- Ophthalmology
- Anesthesiology
- Plastic Surgery
Background:
- Inferior peribulbar anesthesia is widely used in ophthalmology but not commonly for blepharoplasty.
- This study evaluates its efficacy and safety in blepharoplasty procedures.
Purpose of the Study:
- To assess the effectiveness and patient experience of inferior peribulbar anesthesia for inferior blepharoplasty.
Main Methods:
- 788 patients (36-77 years) received inferior peribulbar anesthesia for blepharoplasty over 9 years.
- A specific needle insertion technique at the inferior orbital rim was employed.
- A mixture of 2% lidocaine and 0.5% bupivacaine was injected.
Main Results:
- No patients reported pain during or after the procedure.
- Minor complications included chemosis (2.2%) and orbital hematoma (0.4%).
- Temporary diplopia or visual distortion occurred in some cases.
Conclusions:
- Inferior peribulbar anesthesia is a safe and effective technique for blepharoplasty, yielding pain-free procedures.
- It leads to patient relaxation and facilitates the surgical process.
- Requires expert administration by anesthesiologists or surgeons with deep orbital anatomy knowledge.
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