Yes, blepharoplasty usually needs to be done in the operating room. Plastic surgery under the eyes is a kind of eye plastic surgery, which is used to remove or alleviate eye edema and wrinkles caused by bags under the eyes. This kind of operation usually requires the doctor to use local anesthesia to ensure that the operation area is painless. The operating room provides necessary sanitary conditions and equipment to ensure the safety and success of the operation. During the operation, the doctor will use some special instruments and techniques to remove the inner bag and restore the tension of the eyes. Therefore, blepharoplasty is usually performed in the operating room.