Can I choose to have rhinoplasty done in a hospital instead of an office for safety reasons?

We do not like performing rhinoplasty at our local hospital, and we prefer using our surgical center. The reason is that our anesthesiologist and assistant are the same, and all of our rhinoplasty instruments are kept in excellent condition. There are too many variables at the hospital to provide a consistently positive experience for our patients. Thank you. Dr Joseph 

First and foremost, you want to choose the surgeon who will provide you with the best results and someone that you feel comfortable with.  Where that surgeon operates is important because surgery is like a well choreographed dance and all the personnel involved in your surgical procedure are part of your surgeon's cast in that dance.  If your surgeon has a good reputation, they likely operate out of an accredited surgical facility which is easy to check on.  Well accredited outpatient facilities who use board certified anesthesiologists are exceedingly safe as well as comfortable for you.  

Rhinoplasty surgery can be performed safely in a hospital setting or in an out patient surgery center setting.  If performed by a board certified plastic surgeon you should feel confident in the safety in both of these environments.  This is because of the fact that the american board of plastic surgeons has standards that it holds its members to with regard to where they operate.  As far as office based rhinoplasty, smaller procedures can be done safely, but here are certain things I personally would not do.