Elevated AST and ALT and getting a rhinoplasty.

 In our practice, if someone has elevated liver enzymes before surgery, our routine is to ask him to have a medical evaluation with a specialist to ensure that surgery will be safe.  your surgeon should be able to guide you on this topic.

I require medical clearance for all cases involving anesthesia. The best answer to this question would come from your internist who can decide whether to pursue more testing as well as whether he or she is comfortable clearing you for surgery.

Hello and thank you for your question. I recommend that you speak with your medical physician and your surgeon.  If you have obtained medical clearance, you should be okay for surgery. 
Make sure you specifically look at before and after pictures of
real patients who have had this surgery performed by your surgeon and evaluate
their results.  
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon