Can Rhinoplasty be performed under local anesthesia?

Question

Thinking about about anaesthesia, I was wondering what kind of anaesthesia is used for rhinoplasty?

Michael R. Macdonald, MD · Answer

In
fact, rhinoplasty is often performed under local anesthesia. The local
anesthesia not only makes the region numb, but it also helps to control any
bleeding during the surgery. I will often add sedation – either oral or
intravenous - to the local anesthesia, so that it is a more pleasant
experience.

Paul S. Nassif, MD · Answer

Thank you for the question. Although use of a local
anesthetic is possible for some rhinoplasty surgeries, it is advised to use
general anesthesia for the safety and comfort of the patient. Some surgeries
are less invasive and do not require general anesthesia. Consulting with a
board certified facial plastic surgeon who specializes in rhinoplasty as well
as a board certified anesthesiologist will give you a better idea on what type
of anesthesia should be used in your specific case. I hope this information
helps, and I wish you the best of luck.

Andrew L. Greensmith, MBChB, FRACS · Answer

It can be done under local but for your comfort and safety it is better performed under a general anaesthetic

Toby Mayer, MD · Answer

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.

Ali Totonchi, MD · Answer

Rhinoplasty is safer to be performed under general anesthesia, it can also help the surgeon with fine maneuvers and by keeping the patient still. only small changes can be done by local anesthesia.

Jeffrey Weinzweig, MD, FACS · Answer

General anesthesia is usually required when getting a rhinoplasty procedure especially when the bones of the nose are being modified.

Stephen Weber MD, FACS · Answer

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

William Portuese, MD · Answer

In our practice we perform all rhinoplasty procedures  under general anesthesia by a board-certified physician anesthesiologist for patient safety and comfort. Patients simply cannot tolerate the  injections placed in the nose and  the osteotomies placed in the nasal bones. Very important to have a controlled airway so that blood does not get aspirated in the lungs.

Ciro Adamo, PhD, MD · Answer

A rhinoplasty can be performed under general anaesthesia or local anaesthesia with sedation. Pure local anaesthesia, while theoretically possible, is generally too uncomfortable to be considered an option.

Julian Rowe-Jones, MBBS, FRCS (Eng), FRCS (ORL) · Answer

Rhinoplasty is not a trivial operation; rhinoplasty involves the airway and a structure that has an awful lot of nerves in it. The face has a very rich nerve supply, so in my opinion, rhinoplasty is better performed under general anaesthetic. We can control and protect your airway, number one, which is vitally important and number two, I think I have better control over the tissues and that is why I would advocate in ninety-nine percent of patients surgery under general anaesthesia.Now it’s possible if you just needed a minor procedure that local anaesthetic would be great, but in my experience, certainly the patients come to see me, it’s rare that just a minor procedure is required. Sometimes refinement surgery is all that’s required a little adjustment after a primary rhinoplasty and sometimes we’ll talk about local anaesthesia for that.On the whole however, when people are talking about local anaesthetic rhinoplasty, they really mean local anaesthetic with very significant sedation and monitored anaesthetic care and my feeling is that full general anaesthetic is safer and allows me to get a better result for you than local anaesthetic with monitored anaesthetic care.

Can Rhinoplasty be performed under local anesthesia?

Answers (14)

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