At what age can I start applying Botox?Eyelid plastic surgery is not painful because it is done under local anesthesia or sedation. The anesthesia numbs the tissues around the eyes, making the operation painless. The recovery is not painful either. In fact, most patients do not take any pain medication after a blepharoplasty. This is very important for many people who are considering an operation to treat wrinkles around the eyes.