I'm planning on getting my tip and bridge narrowed, and sill excision. Thank you
I would not recommend using local anesthesia. If you were just going to modify thetip of the nose, then it would be feasible. However, surgical cosmetic improvement of the bridge can be complicated. The extent of the surgery may involve quite a deal of pain. The surgeon would have to be concerned about your level of pain and also concentrate on the surgery.
In our practice, we perform all rhinoplasty procedures under general anesthesia, not local anesthesia for patient safety and comfort. We used board certified physician anesthesiologists to place the patient under anesthesia. It's very important to have a controlled airway during the procedure so that blood does not trickle down the back of your throat/lungs. Trying to perform a rhinoplasty under local anesthesia, especially with osteotomies you will have conscious awareness of yourr nasal bones being broken and will have a very unpleasant experience. Please see the link below for many examples of closed rhinoplasty performed under general anesthesia
