Rhinoplasty - scared of getting put to sleep, what other options other than general anaesthesia?

  In our practice, we perform all rhinoplasty and septoplasty procedures under general anesthesia for patient safety and comfort.  It is extremely important to have a controlled airway,  And to prevent blood from going down into the lungs.  Anesthesia today is extremely safe in the hands of a board certified physician anesthesiologist.  It is also important to stop smoking cigarettes for at least 1 month prior to the surgery so that you are not coughing before, during,or after the surgery.  In addition smokers have a higher risk of complications such as skin necrosis and infection.

It is much safer to have your rhinoplasty under general anesthesia. There are medications that can be given to help you with your anxiety, but general anesthesia is a must. In terms of your smoking, I strongly recommend that you be completely nicotine free for at least 4-6 weeks prior and post surgery. Smoking can seriously adversely affect your body's ability to heal, causing serious complications. Kindly,Kouros Azar

The best option is to have general anesthesia, which is very safe.  Thousands of people/patients go under general anesthesia everyday and nothing happens to them.  Your smoking history is not going to be a problem too.  Speak to the anesthesiologist who will be assigned to you to go over your concerns.