Septoplasty and Rhinoplasty using local anesthesia?

It is generally not a good idea to have rhinoplasty under local anesthesia. We have tried and abandoned this procedure due to patient intolerance of the pain, the injections and the surgery itself. Making cuts in the nasal bone and resetting both nasal bones will be extremely painful under local anesthesia. ... more

Yes, rhinoplasty and septoplasty can be accomplished with local anathesia.  However, the multiple injections required are very uncomfortable.  I strongly suggest some IV sedation at the least during the numbing process.  If an more aggresive surgery is indicated a general anathesia may be a safe... more

For some rhinoplasty procedures, local anesthesia can be used. I would caution though, these are very limited circumstances. IV sedation or even general anesthesia are very safe for patients and if you are prone to nausea, a good anesthesiologists can adjust the medications used and help to decrease your risk... more

Local alone would be very difficult for you and the surgeon.  You want the best possible result and trying to do all this work under local anesthesia is a compromise.  Local with sedation is an option but the best way of doing the surgery is under general anesthesia where everything is very well... more

Yes, it could be done. However, you probably would be more comfortable under gneral or at least deep sedation. Most office based anesthesiologists  are trained to deal with patients that are prone to nausea. They can minimize the risk of nausea with many different medications. I would not worry too much... more

All types of anesthesia can work well for nasal shaping. Over many years we have moved toward general anesthesia though sedation was excellent for most. Local without sedation is possible from a comfort perspective though patients we treat never seem to want to be so aware during their procedure. Patients most... more

This is a traumatic procedure, and it may take a several hours to do.  If you can find a surgeon willing to accomodate (based mainly on safety concerns and concern for outcome), it would be better to have sedation with the local, closely monitored.

 I read your concerns. I don't think it's feasible to perform Rhinoplasty Surgery with just local anesthetic. You can experience nausea even if you receive Intra-venous sedation, and no general anesthetic.   I prefer general anesthetic for Rhinoplasty Surgery since your airway is involved. During... more

 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... more

Yes, it can be done but is very tricky. While having it done you can get a severe nosebleed and it can trickle down into your windpipe and cause serious penumonia. There are very few surgeons who can do this well i.e., under local anesthesia. I have seen Norman Pastorek do it and I would trust him to do it to... more