The Effect of Local Tranexamic Acid on Post-operative Edema and Ecchymosis in Eyelid Surgery

Inclusion Criteria: * Older than 18 years old * Undergo bilateral upper/lower eyelid blepharoplasty, bilateral upper eyelid ptosis repair, or a combination of the above procedures * Additional concurrent forehead/brow or upper/lower eyelids surgeries may be included if bilateral Exclusion Criteria: * Prior eyelid surgery * Anticoagulant or antiplatelet use, including aspirin, within 7 days prior to surgery * Patient who is currently pregnant or breast feeding * Patient with color vision deficiency * TXA allergy * History of bleeding disorder * History of clotting disorder * History of seizure * Have active nausea/vomiting/gastrointestinal symptoms * Have active intracranial bleeding * Have active periocular ecchymosis or edema prior to surgery