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Richard L. Dolsky, MD
Philadelphia Plastic Surgeon
Recent answer posted by Richard L. Dolsky, MD
Q: Septoplasty and Rhinoplasty using local anesthesia? asked by Tiaboo sacramento california
A:
I have more than 30 years experience performing nasal surgery and have used all types of anesthesia. For the last 15 years or more, my preference has been general anesthesia. The bottom line is: it is more pleasant for the patient! You don't see any thing, hear anything , or feel any thing!
General for a rhinoplasty may in fact be safer than local. The surgeon and the anesthesiologist are " sharing" your airway. Under general, there is absolutely no risk to airway obstrucion. It has happened under local.
Post op nausea and vomiting from rhinoplasty is more commonly the result of swallowed blood than the anesthesia. It is much easier to prevent swallowed blood under general than local.
After thousands of rhinoplasties, I would suggest general, especially if this is a complicated traumatic injury.
| Board certification | |
| Education | College: 1968 Dartmouth College, A.B., Cum Laude Medical School: 1972 Tufts University School of Medicine |
| Post-medical school training | Internship: Surgical Rotating 1972-73 Mt. Auburn Hospital Cambridge, Massachusetts Residencies: General Surgery 1973-74 Harvard Surgical Service New England Deaconess Hospital Boston, Massachusetts Otolaryngology 1974-77 Northwestern University Chicago, Illinois Plastic and Reconstructive Surgery 1977-79 Cleveland Clinic Foundation Cleveland, Ohio |
| Medical or professional license | PA |
| Requesting an appointment with Richard L. Dolsky, MD using RealSelf.com is free & confidential. A consultation fee may apply | |
| Location | Cosmetic Surgery of Philadelphia 191 Presidential Blvd Bala Cynwyd, PA View map |