The authors have a large experience with peribulbar anesthesia for inferior blepharoplasty. They have used it in the management of 788 patients over 9 years. Because this type of anesthesia has been used for both extraocular muscle surgery and orbital surgery, it has mostly fallen within the purview of ophthalmic and oculoplastic surgeons. It can be useful for creating anesthesia of the whole lower eyelid area, eliminating any pain that may occur from removing some of the deeper fat pockets. …