Closed Rhinoplasty with Local Anesthesia? (photo)

There are some surgeons that can perform the rhinoplasty under local anesthesia with good results. I would focus on the surgeon and his abilities more than anything else. If he is experienced doing it in this fashion, it is certainly safe.

Hello,The closed rhinoplasty is the best if you want refinement and a natural looking nose. If you are a primary nose with no previous surgery, you should ONLY consider closed scarless rhinoplasty (preferred by actresses and celebrities) because there is no risk of external scarring and much less healing and recovery time.  The goal is to finesse and enhance the nose without drastic change. Also all the same surgical maneuvers your nose requires can be performed with a skilled closed scarless surgeon. All the best, Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

Certainly the type of anesthesia used for rhinoplasty is a decision made by both surgeon and patient, but I do my cases under general anesthesia. That way, I have the patient's airway secure (to avoid blood aspiration) and I do not have to inject a lot of numbing medication to keep the patient comfortable The addition of excessive amounts local anesthesia during surgery distorts the nose and makes finesse changes of surgery difficult to visualize for the surgeon. (In addition, local anesthesia injection can be toxic at high doses!) With the patient under general anesthesia, the airway is secure, the patient is comfortable, I can work faster and safer.