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More Comfortable Enjoyment for Upper Eyelid Blepharoplasty: Optimization of Anesthesia Methods Using Stepwise Local
Man Fang1, Bo Zhang1, Wei Ding1
1Department of Plastic and Cosmetic Surgery, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, 61 JieFangXi Road, Changsha, 410002, Hunan Province, China.
Aesthetic Plastic Surgery
|June 30, 2025
Summary
A new stepwise local anesthesia method for double-eyelid blepharoplasty significantly reduced pain and improved immediate postoperative appearance compared to conventional methods. Patients reported higher satisfaction with the stepwise approach, indicating its effectiveness and suitability for wider adoption.
Area of Science:
- Ophthalmic Plastic Surgery
- Anesthesiology
- Cosmetic Surgery
Background:
- Pain perception during local anesthesia for double-eyelid blepharoplasty is influenced by epinephrine concentration and anesthetic components.
- Conventional anesthesia methods can cause significant discomfort.
- Optimizing anesthesia techniques is crucial for patient comfort and surgical outcomes.
Purpose of the Study:
- To evaluate a novel stepwise local anesthesia technique for upper double-eyelid blepharoplasty.
- To compare the efficacy of stepwise anesthesia with conventional methods regarding pain, lacrimation, appearance, and satisfaction.
Main Methods:
- A prospective randomized clinical trial involving 184 patients undergoing upper double-eyelid blepharoplasty.
- Patients were randomized into two groups: conventional local anesthesia and stepwise anesthetic method (ropivacaine/lidocaine with stepwise epinephrine increase).
- Outcomes assessed included operative pain (Visual Analog Scale - VAS), reflexive lacrimation, periorbital appearance (ecchymosis, erythema, swelling), and patient satisfaction.
Main Results:
- The stepwise anesthesia group exhibited significantly lower VAS scores for pain compared to the control group (P < 0.001).
- Reflexive lacrimation and immediate postoperative periorbital swelling, erythema, and ecchymosis were significantly reduced in the stepwise group (P < 0.01 and P < 0.05, respectively).
- Patient satisfaction was significantly higher in the stepwise anesthesia group (P = 0.016), with no significant differences in appearance at one month.
Conclusions:
- The stepwise local anesthesia technique is superior to conventional anesthesia for upper eyelid blepharoplasty.
- This method effectively reduces operative pain and improves immediate postoperative aesthetics.
- The enhanced patient comfort and satisfaction support the clinical endorsement of this technique.
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