🕒 3. How long does the procedure take? Usually, 1–2 hours—depending on whether both upper and lower eyelids are treated, and if it’s combined with another procedure (like a brow lift). 💉 4. Is the surgery painful? Not much. You’ll be under local anesthesia with sedation or general anesthesia, so no pain during surgery. Afterward, mild tightness or soreness can occur but is manageable with pain medication and cold compresses.