What Anesthesia is Used for a Rhinoplasty?
- Asked 6 years ago
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, while the patient breathes on their own
- Less invasive, because the patient is breathing on their own
- The anesthetist monitors to keep the patient completely asleep and unaware of surgery
In all instances, local anesthetic is also given so the area is numb when the patient awakens/
Anesthesia for Rhinoplasty: It Depends!
Your options for anesthesia are:
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.
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 upon medical history, your comfort level, and your surgeon's preference. Some aspects of rhinoplasty (such as cutting the nasal bones) can be uncomfortable for some patients. Know your pain/anxiety threshold! But keep in mind, it is easier to recover from those options that involve less anesthesia (perhaps you have a history of bad nausea and vomiting with general anesthesia).
If you are healthy and want general anesthesia, you should not be concerned with the length of surgery. General anesthesia is like flying a plane: the tough part is the takeoff and the landing. Everything in between is automatic pilot.
However, if you are not a healthy patient, it may not be as safe to have general anesthesia because there can be more blood pressure/volume fluctuations that can put a strain on your heart and lungs. Also, if you've been told you are a "tough intubation" that might indicate that general anesthesia has a higher risk for you.
Don't feel that you have to make this important decision on your own! Your surgeon and your medical doctor will work together to determine the safest option for you. Trust them, that is what they are trained to do.
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.
Recent Rhinoplasty Reviews
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 cases can be done under straight local, where the patient is awake and is numbed with an anesthetic solution.
The choice of anesthesia is influenced by anesthesiologist and surgeon preferences, combined with any requests from the patient. Often your doctor will decide what is best for your case best on a number of factors, such as your age, health, duration of the case, etc.
All the best to you,
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 using local anesthesia (similar to dental shots) only , or local with sedation. Your anesthesiologist needs to be very familiar with sedation techniqus to handle the delicate balance of pain and relaxation versus safety.
A lot of the decision making is done based on your surgeon's preference. However, make sure your surgeon is not providing lesser anesthesia for cost savings and that you get the amount of work necessary for your nose regardless of the anesthesia technique.
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.
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 points to consider are 1) safety; 2) comfort; and 3) effects (if any) on final results.
Safety is of course paramount, and in rhinoplasty surgery, the main issue is protecting your airway (breathing tube). In cases of deep iv sedation, the ability to protect your airway (we all do this without thinking about it) may be lost during the anesthetic.
Secondly, you want to make sure your anesthetic makes you comfortable (no need to suffer during this). If you are comfortable and still, the surgeon will be able to concentrate on his/her work at hand.
Because of this, I recommend an iv-only anesthetic with placement of an 'air pillow', or laryngeal mask, on the airway to protect it. Patients recover very quickly (as it's only iv administered anesthetic) and it offers airway protection.
I have had excellent results with this. I advise you ask you surgeon about what techniques provide you with the best safety and comfort. Hopefully the above information is useful.
What Anesthesia is Used for a Rhinoplasty
Although local anesthesia and IV sedation is used by many surgeons I prefer to use general anesthesia for my patients. I feel that this control of the patient is necessary to achieve my best results.
Web reference: http://www.drvitenas.com/rhinoplasty.html
Anesthesia - Rhinoplasty
General anesthesia is generally my preference as it very safe even though there are a lot of misconceptions. A breathing tube is inserted which has a cuff that protects your airway during surgery. Twilight anesthesia can be used as another good option for those that do not want general...this is done intravenously.
As always, make sure your surgeon sends you for a full work-up before undergoing any procedure with anesthesia. Also, your potential anesthesiologist should be available via phone before the surgery to answer any additional concerns.
Anesthesia for Rhinoplasty.
Your surgeon is the captain of your ship and the artist you have chosen. Tell him to do what he is most comfortable with and do not try to make him compromise to do a procedure he is not comfortable with. Usually anesthesia costs are calculated by the time you are in the operating room and it does not make a difference whether you are awake or under general anesthesia (assuming there is a qualified anesthesia person present). Most anesthesiologists would rather have you under general anesthesia as they want to have total control of your airway, an important fact especially when you are undergoing "airway surgery".