Rhinoplasty, nose bump reduction, and other nasal surgery definitely possible under local

Local anesthesia alone is certainly a possibility for rhinoplasty, whether just a bump or with tip resculpting and/or septal work, as long as the surgeon is experienced in this technique.

I have done several with local anesthesia alone, although my preference is to use light sedation to minimize the stinging sensation that comes from the local anesthesia, as well as the nervousness that might accompany surgery.

Surprisingly, I find that surgery done this way goes more smoothly, with less blood loss, and in a shorter time in the operating room than when surgery is done under general anesthesia. Recovery, bruising, and swelling are also generally less when done without general anesthesia.

Good luck!