Is it necessary to use epinephrine for septorhinoplasty? I have a severe reaction/sensitivity to it

Good Morning! That's a great question. It is ideal as it helps to constrict the blood vessels and decrease bleeding. But, your safety would obviously be number one. There are other options to assist with bleeding reduction such as TXA, though I'm unsure if this would cross-react with your sensitivity. Make sure to discuss this with all staff present for your procedure to ensure no complication. Best of luck!

Epinephrine is used to shrink the blood vessels and decrease bleeding during rhinoplasty. This would improve exposure and make the dissection easier during surgery. I would discuss your concerns with your surgeon and the exact reaction you have to epinephrine. You can also ask him/her whether they use tranexamic acid, which has been used to decrease bleeding during surgery. You should follow your surgeon’s recommendations to avoid medications or supplements that increase the risk of bleeding.

Rhinoplasty is commonly done with a general anesthesia. Epinephrine is commonly used with the local anesthetic to decrease bleeding during the surgery and this is normally injected after the patient is asleep. I would not perform a rhinoplasty without using epinephrine, because bleeding during the surgery can make the surgery much more difficult. I would discuss your concerns with your surgeon though.