I Am Having Revision Rhinoplasty to Remove a Rib Graph. What Am I in Store For?

asked 1 year ago by Jinger in pittsburgh
Latest answer by Sam Naficy, MD
Question viewed 306 times
Tags: expectation, graft, ribs

I am also doing this with no sedation only a local numbing. There is very few information about rhinoplasty with no sedation. I know everyone is different but, I was wondering the level of pain. Also why sedation would be recommended. The Doctor said I(myself) may abort this during the numbing process. How long does the numbing process generally take?

9 answers to I Am Having Revision Rhinoplasty to Remove a Rib Graph. What Am I in Store For?

Revision Rhinoplasty

"I Am Having Revision Rhinoplasty to Remove a Rib Graph. What Am I in Store For? I am also doing this with no sedation only a local numbing. There is very few information about rhinoplasty with no sedation. I know everyone is different but, I was wondering the level of pain. Also why sedation would be recommended. The Doctor said I(myself) may abort this during the numbing process. How long does the numbing process generally take?" Jinger- I am a little confused... more

John Philip Connors III, MD
Atlanta Plastic Surgeon

Removal of graft under local

It depends entirely on the size and location of the graft - a small graft in an easy to reach area can be removed under local but not a large graft that is firmly seated and required to be dissected out

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

Revision Rhinoplasty Sedation

I actually have not performed a rhinoplasty or a revision of a rhinoplasty under local anesthesia. I explain to all of my patients that if a revision is to be performed that I waive my fees but that the anesthesiologist and facility fees are going to be paid for by them. In instances where the surgeon owns the facility obsviously this is not the case.

Robert Whitfield, MD
Milwaukee Plastic Surgeon

Revision Rhinoplasty

I personally prefer to do all Rhinoplasty Revisions in a certified surgery center with anesthesiologists and local anesthesia combined. This is safer and allows for additional work if necessary. Revision Rhinoplasty can be more complicated and involved than initially planned.

Burr Von Maur, MD
Orange County Plastic Surgeon

Proper Anesthesia for Revision Nose Surgery

Regarding: "I Am Having Revision Rhinoplasty to Remove a Rib Graph. What Am I in Store For? I am also doing this with no sedation only a local numbing. There is very few information about rhinoplasty with no sedation. I know everyone is different but, I was wondering the level of pain. Also why sedation would be recommended. The Doctor said I(myself) may abort this during the numbing process. How long does the numbing process generally take?" One of the critical... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Rhinoplasty

Removal of rib-cartilage graft degree of difficulty depend on the age of the graft, how solid is the healing from the previous surgery. It may NOT be as easy to take out under local anesthesia.

Samir Shureih, MD
Baltimore Plastic Surgeon

Rhinoplasty Anesthesia

Rhinoplasty is one procedure I will not perform without IV sedation or general anesthesia. Removal of a rib graft may or may not be quick and easy.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Rhinoplasty and anesthesia

Personally I would not want to perform a rhinoplasty under jsut local anesthesia, I think patients are more comfortable with general or deep sedation. If they are comfortable, then I can focus on performing the best rhinoplasty I can.

Steven Wallach, MD
Manhattan Plastic Surgeon

Local anesthesia for revision rhinoplasty (remove rib graft) may be a problem!

This could be a problem for the surgeon who finds that more work is necessary and doesn't have the degree of patient immobility and comfort needed to do his/her best work, or it may be a problem for you if the desired outcome requires another surgery, each subsequent one becoming more difficult or predictable! Why local anesthesia? I assume your surgeon has access to full anesthesia and/or sedation in an accredited hospital, surgical center, or office surgical facility. If not,... more