Can Rhinoplasty be performed under local anesthesia?

The answer is yes. Rhinoplasty can be performed under local anesthesia often with a mild oral sedative. However, in most cases, surgery is performed under general anesthesia or IV sedation. This is both for your comfort and safety. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

This can be done under local anesthesia if the patient is very tolerant of the idea of having surgery and the associated noises that go with that. Most patients preferred to be somewhat asleep.