Should I cancel cosmetic rhinoplasty/nasal osteotomy because history of pituitary lesion?

A rhinoplasty is an elective surgery and should only be performed if you have no significant medical comorbidities. I would discuss your medical history in detail with your rhinoplasty surgeon and potentially even obtain medication clearance from your doctor or a neurosurgeon who specializes in these types of lesions before undergoing a rhinoplasty. I would discuss your concerns with your rhinoplasty surgeon first.  

The pituitary gland is located the base of the brain and  way in the back of the nose. As long as you get clearance from your family physician/ neurosurgeon, it's acceptable undergo cosmetic surgery. Performing osteotomies in the nasal bones with the rhinoplasty will have no bearing/ relationship to the pituitary gland.

This last minute question represents last minute jitters. You can postpone the surgery if you feel uncomfortable. The rational thing to do is to speak to your neurosurgeon and get his/her professional opinion. I sincerely doubt a rhinoplasty will be of any danger, but I am a plastic surgeon. Maybe your surgeon should speak to your neurosurgeon.All the best,Talmage Raine MD