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What Anesthesia is Used for a Rhinoplasty?

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anesthesia sedation

To sleep or not to sleep with your Rhinoplasty

While many surgeons in the 70s and 80s would perform rhinoplasty with oral sedation and local anesthesia, more surgeons today are offering general anesthesia for their patients. The reason for this that we have become more sophisticated in our techniques which may require a bit more work to be done on the nose. It then becomes important for the patient to be completely pain free, not moving, and the surgeon can focus on the intricate work at hand. Having said this, there are indications for... more

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Ashkan Ghavami, MD

Beverly Hills Plastic Surgeon

ASPS

It depends!

There is a wide variety of anesthesia that can be used during an anesthesia. It can be done: 1. under local, while the patient is awake 2. under general anesthesia, while the patient is asleep There are a many medications and ways to help patient breath during the procedure. These questions are best answered by the anesthesiologist or nurse anesthetic that would be performing the anesthesia.

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Babak Azizzadeh, MD

Beverly Hills Facial Plastic Surgeon

Anesthesia for Rhinoplasty

For your comfort and safety, plastic surgeons will use either general anesthesia or "twilight" anesthesia (intravenous sedation): General Anesthesia: a breathing tube is inserted into the throat after the patient is asleep. Some prefer this technique because the tube protects the airway from blood and mucus The anesthetist has control of the airway and ventilation (breathing) Intravenous Sedation: medications are given through an IV,... more

Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

Anesthesia for Rhinoplasty: It Depends!

Your options for anesthesia are: 1) Local: You are fully awake and a local anesthetic is injected to numb the nose. 2) Local with sedation You have been given a sedative in addition to the local anesthesia. Here you may wake up and fall back asleep at times during surgery, but you will not remember. 3) General You are fully sedated such that your breathing has to be done for you via an endotracheal tube. You can choose any of these options based... more

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Anand D. Patel, MD

Austin Facial Plastic Surgeon

Rhinoplasty anesthesia methods

Rhinoplasty surgery can be done either under sedation anesthesia or general anesthesia. Discuss with your plastic surgeon his method of Choice and his reasoning for that. Rhinoplasty is an art and precision surgery. To get the best results, the patient should be comfortable. In reality most patient have their procedure performed under General or Sedation Anesthesia. Hope this was helpful. Dr. Sajjadian

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Ali Sajjadian, MD

Orange County Plastic Surgeon

ASPS

Rhinoplasty Anesthesia

Anesthesia for rhinoplasty or nasal surgery can be done a number of ways. A common method is with general anesthesia, where the patient is completely asleep. General anesthesia requires a breathing tube (endotracheal tube) placed in the windpipe so that the patient can ventilated while asleep. Another common method is intravenous sedation with local anesthesia, where patient is almost asleep or very drowsy, but breathing on their own, and there is no need for a breathing tube. Minor nasal... more

A. John Vartanian, MD

Glendale Facial Plastic Surgeon

Anesthesia for Rhinoplasty

Depending on the amount of work needed you will range from local only, to local with sedation to general anesthesia. If it is your first time around and you need a regular rhinoplasty then I recommend a general anesthetic where you go to sleep and wake up with everything completed. That's what i would want for myself. Best Wishes, DoctorMeade

Ricardo A. Meade, MD

Dallas Plastic Surgeon

ASPS

Rhinoplasty can be performed with local anesthesia, IV...

Rhinoplasty can be performed with local anesthesia, IV sedation or general anesthesia. Some points worth considering: the definition of 'general anesthetic' is not necessarily that a 'tube' is put down your throat. Very deep anesthesia can be performed without doing so, and could be considered 'general anesthesia'. Having said this, some 'iv sedation' is so deep it may be considered close to 'general anesthesia'. Thus, we are speaking about some gray zones here. The most important... more

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Sam Most, MD

Bay Area Facial Plastic Surgeon

Anesthesia for Rhinoplasty

Thank you for your question. I prefer General Anesthesia given by a board certified plastic surgeon. I perform my surgeries in an out patient surgery center, and under general anesthesia. I use Board Certified Anesthesiologists who monitor my patients from start to end so as to provide the safest environment for my patients. I would recommend general anesthesia for rhinoplasty surgery so that you are as comfortable as possible during the procedure. I would suggest... more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

Anesthesia options for Rhinoplasty

The type of anesthesia used for rhinoplasty depends primarily on the surgeon's preference and comfort level. The most commonly used anesthetic methods are general anesthesia, local with IV sedation and/or monitored anesthesia. The patient's safety and comfort is of utmost importance and this should guide the surgeon as to the type of anesthetic used.

Sarmela Sunder, MD

Beverly Hills Facial Plastic Surgeon

Sedation is great

I do most of my rhinoplasties under IV sedation. An anesthesiologist (MD) gives you medication so you sleep through the procedure. It is safe and effective and avoids a tube in your airway. We have been doing this for over 30 years, and our patients are quite happy.

William B. Rosenblatt, MD

New York Plastic Surgeon

ASAPS ASPS

Rhinoplasty anesthetic tailored to your choice

Rhinoplasty can be done under a general anesthetic (with intubation) or under a sedation/twilight. Most surgeons have a preference toward one or the other but should listen to YOUR preference. I personally use sedation because I see a faster recovery with less nausea, and patients still remember nothing. If you have a preference, be sure to discuss this with your surgeon! good luck!

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Catherine Winslow, MD

Indianapolis Facial Plastic Surgeon

Anesthesia for rhinoplasty - nose job

Anesthesia for a rhinoplasty is based on surgeon preference. However, the majority of rhinoplasties are done under general anesthesia. This is important not only for sedation and pain control, but also to protect the airway. see video

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Etai Funk, MD

Houston Facial Plastic Surgeon

Go to sleep ... enjoy your surgery!!

There was a time I did all my noses with sedation and local anesthesia with an anastheiologist standing by. My patients convinced me of the wrongness of my ways. I had too many patients that became apprehensive or later described fear when I made loud noises doing separation of bony tissue. Today I only use general anasthesia and my patients ae a lot happier. In any event, you need to be seen in person by a Board Certified Plastic Surgeon to assist you in making a... more

Jon Sattler, MD

Glendora Plastic Surgeon

ASPS

Choice of Anesthesia

rhinoplasty, is one of a few operations for the choice of anesthesia really depends upon the preference of the patient, and the surgeon's concept of safety and what will be best for the patient. Very few surgeons choose to do the procedure under local anesthesia, although it is technically possible. Prefer your choice of deep sedation, or general anesthesia. The advantage of a general anesthesia is that in the airway is in place preventing your loss of airway, and a serious... more

John E. Sherman, MD

New York Plastic Surgeon

ASAPS ASPS

Types of anesthesia for nose job (rhinoplasty)

The anestheisa requirements for rhinoplasty (nose job) depend on the extent of the procedure and the surgeon's preference. A relatively minor tip rhinoplasty can easily be performed under local or IV sedation or monitored anesthesia care. However, an open rhinoplasty with rib grafts is best done, in my opinion, under general anesthesia. see video

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Rhinoplasty anesthesia options - many types of anesthesia are used.

Most rhinoplasty procedures are performed under general anesthesia, but can be performed under local or sedation. General Anesthesia offers rhinoplasty patients (and often the surgeon) the most comfortable experience. Sometimes minor work on the nose, or small revision procedures can be done with local anesthesia or conscious sedation.

Jason Lichtenberger, MD

Bellingham Facial Plastic Surgeon

Type of anesthesia with Rhinoplasty

Rhinoplasty should be performed with either a) IV (deep) sedation or b) general anesthesia IV sedation: this type of anesthesia is performed by administering medications through an IV. From a patient's standpoint you will be asleep and unaware of your surroundings. No endotracheal tube (for breathing) is used because you are breathing on your own during the entire procedure. This technique is not appropriate for all patients (eg.people with sleep apnea) because the airway may... more

Lawrence Tong, MD

Toronto Plastic Surgeon

ASAPS ASPS

Rhinoplasty anesthesia

Rhinoplasty is often done under sedation, or twilight anesthesia, or general anesthesia. It really depends on how much modification your nose would need. I would focus your efforts on finding the right surgeon, and then discuss with him how he/she can give you the best result with which anesthetic technique. This will prove much more important! The revision rhinoplasty patients we see in Michigan often state that they wished they would have picked a surgeon... more

Pramit Malhotra, MD

Ann Arbor Plastic Surgeon

Anesthesia for rhinoplasty

Either deep sedation or general anesthesia. The latter is my constant preference because the patient remains well ventilated under control of the anesthesiologist, throat packing can be used to prevent swallowing of blood with related emesis, hematemesis, coughing, and/or gagging, there is no movement during this delicate procedure so surgeon maintains better control over the result, and the patient truly has no sensation or recollection of osteotomies and other deep (septal)... more

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Steve Laverson, MD

San Diego Plastic Surgeon

ASAPS ASPS

Sedation ("twilight") or general anesthesia are most commonly used for rhinoplasty

In my experience, so called "twilight" anesthesia or monitored-anesthesia (MAC) are sufficient for all rhinoplasty cases. However, this requires an anesthesiologist that is comfortable with deep sedation and a surgeon that can perform meticulous local anesthesia. Both are required for a smooth, consistent plane of anesthesia. At present, the majority of rhinoplasty surgeons are using general anesthesia but an experienced surgeon with an experienced anesthesiologist or CRNA can... more

Stephen Weber, MD

Lone Tree Facial Plastic Surgeon

Anesthesia for rhinoplasty

Most rhinoplasties are performed under general anesthesia. A very minor adjustment in nasal contour or projection can be done under local anesthesia, but this is often a source of anxiety for the doctor and the patient (because the patient is awake for the procedure). Some practitioners perform sedation or "twilight anesthesia." This is IV medication and local anesthesia. The safer option is either general anesthesia or local, because sedation involves... more

Jason R. Hess, MD

San Diego Plastic Surgeon

ASPS

Rhinoplasty is performed under general anesthesia...

General anesthesia is best for rhinoplasty because the airway is protected and the patient will not be aware of anything happening during the procedure. A healthy patient will do very well with anesthesia and patient comfort is always a priority for us.

Andrew Miller, MD

Edison Facial Plastic Surgeon

Rhinoplasty Anesthesia

The choice of which type of anesthesia to use during rhinoplasty surgery depends on several factors. A very minor rasping can be done under local anesthesia. The majority of rhinoplasty procedures, in my experience, are more involved and require deeper anesthesia. This allows the anesthesia provider to keep you very comfortable for the whole procedure. This would mean either IV sedation or general anesthesia with a breathing tube used to protect your airway. As you can see from the... more

Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon

It is up to your surgeon

It really depends on your surgeon and their preference. It can be either a General or it can be done with IV sedation. My preference is to use IV sedation and this has worked well for over 20 years for me. If someone requires significant internal nasal work (breathing problems) then I will use a general anesthetic. I believe the use of either type of anesthesia is acceptable and it will be something your surgeon will discuss with you.