I need a Septoplasty due to a broken nose. I am considering getting a Rhinoplasty at the same time too. I have a HUGE fear of being "put under". I'm also emetophobic as well and general anesthesia frightens me since I've had past surgeries and thrown up for about 2 days after. Can I get this done with local anesthesia? I really hope so because I don't think I will ever get this fixed if anyone won't do it that way.
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 avenue.
Yes this can be performed under local anesthesia but more commonly with IV sedation which may or may not be associated with emetogenic medications. The procedure really depends on how complicated the rhinoplasty will be and whether grafts or other associated procedures may make general anesthesia a preferable option.
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 often will tell our anesthesia staff to just put them out for the procedure and therefore our trend to general anesthesia rather than sedation. You may find it interesting that we use the local regardless, so recovery for all is the same. The agents used in a general anesthesia tended to cause more nausea than sedation, though this is probably no longer true with modern anesthetic medications and agents. You should also know that most surgical procedures in the US are ambulatory or outpatient, with patients sent home shortly after. All are safe, and the choice can be yours.
Best of luck,
peterejohnsonmd
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