Can a full rhinoplasty be done under local anesthesia? (photos)

Question

I want to know if it is possible to have a full rhinoplasty under local anesthesia. I was 5 days away from having one with a reputable Doctor, the surgery was half paid already, but I was simply not having it regarding the general anaesthesia. Unless it's something about life or death, I am not going under general anaesthesia . I feel very strong about this and nothing will change my mind. I am open to tip pasty and alarplasty as well. Under Local. Thank you So Much!

Ronald J. Edelson, MD · Answer

A rhinoplasty can be done under local anesthesia but mist surgeons use general anesthesia. I would not use the type as anesthesia as my main criteria for selecting a surgeon however. Go with the surgeon you think is  better

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing photos with your question. Although general anesthesia is used more often, rhinoplasty can also be performed using local anesthesia, especially when the patient’s nose is getting minimal reshaping. It really depends on the extent of the procedure and what your surgeon is comfortable with.
 
I recommend scheduling a consultation with an experienced, board-certified facial plastic surgeon with expertise in rhinoplasty. They can do a proper assessment, address your concerns, and determine the best procedure plan you’ll be most comfortable with.

Jeffrey H. Spiegel, MD · Answer

Put simply, this can be done fully with local anesthesia.  You don't even need any oral sedation if you are comfortable with having procedures under local anesthesia.  I do this frequently, even in the office. It's very straightforward, and, you have the chance to approve your nose before we're done!

Tanveer Janjua, MD · Answer

I do Alarplasty and Tip plasty under local anesthesia all the time. It can be done safely but the surgeon has to be comfortable with it. 
Looking at your nose the biggest issue seems to be the nostrils. Even an alarplasty alone will make a big improvement. For my patients who are not sure about doing both alarplasty and tip plasty, I advise them to start with just alarplasty and wait for a while (like 1 year) to see if you like the nose enough so you don't have to do anything more. If you still feel a tip plasty is needed, you can still do it. 
Best
Dr. J

Jacob Tower, MD · Answer

Hello, hope you are well. Alarplasty is commonly performed under local anesthesia, and it is a relatively simple process. Rhinoplasty can also be performed under local as well, and it used to be very common--a few decades ago this was the predominant method of rhinoplasty anesthesia. However, rhinoplasty techniques have evolved and general anesthesia is now much more common. Depending on the complexity of the nose, local may not be the best option, and for that reason some surgeons may not offer the approach if they feel they can't deliver their best result. However, it is a possibility you should explore with your surgeon.
Best,Dr. Tower

Can a full rhinoplasty be done under local anesthesia? (photos)

Answers (5)

Answer: Alarplasty and Tip plasty

Answer: Alarplasty and Tip plasty

Answer: Local Anesthesia Rhinoplasty

Answer: Local Anesthesia Rhinoplasty

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Can a full rhinoplasty be done under local anesthesia? (photos)

Answers (5)

Answer: Alarplasty and Tip plasty

Answer: Alarplasty and Tip plasty

Answer: Local Anesthesia Rhinoplasty

Answer: Local Anesthesia Rhinoplasty

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.