Revision Rhinoplasty Q&A
69%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
136 Reviews
Revision Rhinoplastybefore & after photos
View Before and Afters

Average Revision Rhinoplasty Cost: $6,450

Learn about Revision Rhinoplasty

880 people and 334 doctors are talking about Revision Rhinoplasty

Get Free Email Updates

Is Graft Removal Hard and Can it be Done with Local Anesthesia??

asked 4 months ago by ace123a in MA
Latest answer by William Portuese, MD
Question viewed 98 times
Tags: local anesthesia, removal, rib graft

my grafts from rib grafts were sutured in my nose... would it be "Easy" or hard to remove it? could it be gone local anesthesia? can it be done opened or closeD?

6 answers to Is Graft Removal Hard and Can it be Done with Local Anesthesia??

+1

Is Graft Removal Hard and Can it be Done with Local Anesthesia??

The real question is "do you want the grafts removed under a local anesthesia"? Probably not. The real issues with having a local anesthesia for any Rhinoplasty procedure are the following: 1. The nose can bleed profusely and if that occurs without airway support and protection, you could wind up miserable, choking on the blood and in the worst case scenario, with a pneumonia from the aspirated blood. 2. Local anesthesia only numbs the pain nerves and you'll... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

+1

Rib graft removal should be done under general anesthesia

It is very difficult to go in and remove rib grafts from the nose since they get tissue ingrowth and are solidified with the healing process inside the nose. This cannot be done under local anesthesia. It can be done through a closed rhinoplasty technique under general anesthesia and since it is a revision, it is always more difficult than the primary rhinoplasty.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Graft removal in nose

It is usually better for y out o go to your original surgeon to have the grafts removed. He/She would lnwo exactly how they were placed. Usually the grafts if sewn in are best removed through an open approach. Usually with sedation.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Is graft removal hard?

If you are still working with your original surgeon he/she is in the best position to answer this for you. Your original surgeon has the best knowledge of what was done and what the surgical obstacles are that are likely to be encountered. When I approach a revision on a nose that was operated on by someone else I am always thinking about what I may need to do if what I find is not what I was expecting. If that occurs will I be able to do it in a less controlled local anesthesia situation?... more
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon

www.palmbeachface.com

+1

Is Graft Removal Hard and Can it be Done with Local Anesthesia??

Hi, Most likely you will need an open rhinoplasty and it can be done under local with a little sedaiton. The difficulty of removal can only be determined during the surgery. It all depends on how it was put in and how long its been there. Best. Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon
+1

Revision of grafts after Rhinoplasty

Revision or removal of grafts can be performed after Rhinoplasty. As to weather it can be accomplished under local that depends of where and how the grafts were placed and secured.
Jay M. Pensler, MD

Chicago Plastic Surgeon

www.plasticsurg.org

Ask a question