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