I Want my Nose Shaped Without General Anaesthetic. What is Conscious Sedation with Noseplasty?

I want to have my nose shaped and don't want a general anaesthetic. I was told by plastic doctors that I must have it done with general aneasthetic but I read that there are clinics that do 'Noseplasty' only with 'conscious sedation' which is not general anaesthetic. Surely the doctors I saw are unaware of this method and I should ask for it or go to the clinics that use this method? Mrs. Gand

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9 Doctor Answers | Asked by ex SA

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Nasal surgery and anesthesia

It is very important to have your nose performed under general anesthesia for both patient safety and comfort. When patients are awake under anesthesia it is called conscious awareness. After their conscious awareness surgery, patients have had nightmares about the surgery, often about when injections were placed in their nose or when their nose bones were being broken. It is impossible to get the nose completely anesthetized with local anesthesia and it will be a very... more

Conscious Sedation vs. General Anaesthesia with Noseplasty (rhinoplasty)

The debate of whether general anaesthesia or conscious sedation is more appropriate for rhinoplasty essentially hinges on the training and experience of the surgeon and the experience and training of the specialist anaesthetist administering the conscious sedation medication. I emphasise that this is important and you must select your surgeon and he will advise you which technique he is comfortable with. I totally disagree that it is not possible to perform a total block of... more

Rhinoplasty under Local Anesthesia

Rhinoplasty surgery is definitely possible under a local anesthetic. Additional sedation can be achieved with preoperative oral medications or IV sedation. These methods of anesthesia depend on the experience and comfort level of your surgeon, as well as having reliable and competent ancillary staff in the operating suite. With this said, most rhinoplasty patients are more comfortable having general anesthesia. Thank you for your question. Good luck with your... more

Rhinoplasty with conscious sedation.

Rhinoplasty with conscious sedation is possible depending what is being done to the nose and how safe it is. Without protection of the airway you will have greater risk. If it is a minimal rhinoplasty it can be done under local anesthesia.

Toby Mayer, MD

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Beverly Hills Facial Plastic Surgeon

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Rhinoplasty can be performed under IV sedation

My colleagues comments about safety are incredibly important. However, rhinoplasty can be performed safely under IV sedation. The anesthesiologist or CRNA must be highly experienced in delivering IV sedation and avoiding both under and oversedation. Your plastic surgeon must be able to completely numb your nose as well. Both surgeon and anesthesiologist must work well together and both must be aware of your airway, any potential for bleeding and communicate openly. I hope this information is... more

I Want my Nose Shaped Without General Anaesthetic. What is Conscious Sedation with Noseplasty?

I have performed Rhinoplasty for 25 years and IMHO, this is ill-advised. While IV sedation appears desirable, on the surface, the reality is that it is not as safe as a general anesthesia because the airway is not protected. In the event of bleeding, which Rhinoplasty can do at times even profusely, the blood can be aspirated into the lungs causing pneumonia. If IV sedation is too heavy, which can occur during the Rhinoplasty, the airway can become compromised from... more

Rhinoplasty often performed with deep IV sedation, no intubation

I perform all rhinoplasty and revision rhinoplasty procedures with deep intravenous (IV) sedation. The patients do not have to be intubated. During this procedure, you will not remember anything, and you breathe spontaneously on your own. A skilled nurse anesthetist or anesthesiologist should feel comfortable with this type of anesthesia if they routinely work with a rhinoplasty surgeon. There is nothing wrong with using general anesthesia with... more

Anesthesia for Rhinoplasty

The best option for anesthesia for rhinoplasty is indeed General Anesthesia with intubation to help against any blood or secretions going down the throat into the lungs (called aspiration). Conscious sedation can be tricky as it does not protect your wind pipe and you can swallow and/or aspirate some blood. That can lead to pneumonia. There are a handful of surgeons who can do the rhinoplasty without much bleeding at all and they use conscious sedation. If you want that you must look for... more

Rhinoplasty without general anesthesia

Generally the appropriateness of general anesthesia is dictated by the extensiveness of your surgery and what procedures you will have done. That being said, there are surgeons that feel completely comfortable performing even complex revision surgeries completely under local anesthesia. I wouldn't recommend trying to force a surgeon who recommends general anesthesia for you to perform the surgery without it, but as you mentioned, seek a clinic/surgeon that is comfortable with... more