Rhinoplasty and anesthesia
I prefer to perform rhinoplasty under general. But there are those who like moderate sedation. Many different medications can be used to minimize patient discomfort or recall of the procedure.
Anesthesia for a rhinoplasty
In our practice, we do not recommend twilight anesthesia for a rhinoplasty due to the fact that it is very difficult to get the nose numb with lidocaine injections, patients will have some recollection of the nose being broken, and the airway must be controlled when deeply sedated, otherwise blood can enter into the lungs. In our practice we perform all rhinoplasty procedures under a light general anesthetic with an LMA breathing tube in place to control the airway for patient safety and comfort. Patients will have no conscious awareness of the surgical procedure and osteotomies when their nasal bones are broken during the rhinoplasty procedure.
Hello and thank you for your question. I perform rhinoplasty under general anesthesia administered by a board-certified doctor anesthesiologist (not a nurse) who is providing one-on-one care throughout the case. It is very important to discuss with your surgeon who is providing your anesthesia and what their qualifications are. The most important aspect is
to find a surgeon you are comfortable with. I recommend that you seek consultation
with a qualified board-certified plastic surgeon who can evaluate you in
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Does flinching under sedation mean pain?
The answer is "probably not". Just as when you are asleep you can move and shift, the same happens under deep sedation.
The best practices use a BIS brain monitor to directly measure brain activity during sedation, confirming the patient is sedated appropriately to avoid any sensation of pain.