Hi! I am about to have asian rhinoplasty with local anesthetic only. I worry I’m going to freak out while on the table. I Will be taking Percocet an hour before the procedure. Is it common for people to freak out during local anesthesia? Thank you!
Answer: Rhinoplasty under local Great question! It really all depends on what exactly is being done. Asians tend to have a low and wide bridge as well as a bulbous tip. If you're only getting an implant placed to enhance the bridge then local maybe fine. However, if its more involved such as breaking the bones to narrow the bridge or if there is significant tip work that needs to be done, or if cartilage is being taken from another part of your body, then you need to be under general anesthesia. With that said, every nose that I have done have all been under general anesthesia. Especially if you are going to freak out, it is important to be asleep. Rhinoplasty is a surgery of millimeters, if you move or twitch while the surgeon is cutting, it can obviously create issues.Best of luck and hope this information helps!
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Answer: Rhinoplasty under local Great question! It really all depends on what exactly is being done. Asians tend to have a low and wide bridge as well as a bulbous tip. If you're only getting an implant placed to enhance the bridge then local maybe fine. However, if its more involved such as breaking the bones to narrow the bridge or if there is significant tip work that needs to be done, or if cartilage is being taken from another part of your body, then you need to be under general anesthesia. With that said, every nose that I have done have all been under general anesthesia. Especially if you are going to freak out, it is important to be asleep. Rhinoplasty is a surgery of millimeters, if you move or twitch while the surgeon is cutting, it can obviously create issues.Best of luck and hope this information helps!
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Answer: Asian Rhinoplasty Under General Anesthesia Some cosmetic surgeries can be done under local anesthesia, however, I would recommend general anesthesia for rhinoplasties. I find that the nose is very sensitive and difficult to get the entire nose completely numb even with local nerve blocks and direct injection of local anesthetic.
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Answer: Asian Rhinoplasty Under General Anesthesia Some cosmetic surgeries can be done under local anesthesia, however, I would recommend general anesthesia for rhinoplasties. I find that the nose is very sensitive and difficult to get the entire nose completely numb even with local nerve blocks and direct injection of local anesthetic.
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May 7, 2019
Answer: Best Anesthesia for Rhinoplasty Hello and thanks for your question. While it is possible to have rhinoplasty under local anesthetic, I perform this procedure under general anesthesia as a general rule. You will be much more comfortable if you are asleep throughout your surgery. Asian rhinoplasty also takes multiple steps in most cases, making this procedure rather long and complex to perform with the patient awake. If you are not comfortable with this recommendation and your surgeon isn’t offering other options, I would schedule a second opinion with a board-certified plastic surgeon that can assess you in person and make a recommendation that will work best for you.
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May 7, 2019
Answer: Best Anesthesia for Rhinoplasty Hello and thanks for your question. While it is possible to have rhinoplasty under local anesthetic, I perform this procedure under general anesthesia as a general rule. You will be much more comfortable if you are asleep throughout your surgery. Asian rhinoplasty also takes multiple steps in most cases, making this procedure rather long and complex to perform with the patient awake. If you are not comfortable with this recommendation and your surgeon isn’t offering other options, I would schedule a second opinion with a board-certified plastic surgeon that can assess you in person and make a recommendation that will work best for you.
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February 9, 2019
Answer: Asian rhinoplasty under local vs general anesthesia Some surgeons perform Asian Rhinoplasty under local anesthesia but my personal preference has always been using general anesthesia to provide patients a more comfortable experience. It used to be more commonly done under local anesthesia when L shaped implants were used, because it only required minimal surgical manipulation. However, L shaped implants have fallen out of favor because of its high complication profile. Most patients now opt for Autologous techniques (e.g.DCF) and even if implants are used, the tip is reconstructed using septal +/- ear cartilage etc so general anesthesia would make more sense. Discuss with your surgeon your concerns and good luck with your procedure!Goretti H. Taghva MD FACS
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February 9, 2019
Answer: Asian rhinoplasty under local vs general anesthesia Some surgeons perform Asian Rhinoplasty under local anesthesia but my personal preference has always been using general anesthesia to provide patients a more comfortable experience. It used to be more commonly done under local anesthesia when L shaped implants were used, because it only required minimal surgical manipulation. However, L shaped implants have fallen out of favor because of its high complication profile. Most patients now opt for Autologous techniques (e.g.DCF) and even if implants are used, the tip is reconstructed using septal +/- ear cartilage etc so general anesthesia would make more sense. Discuss with your surgeon your concerns and good luck with your procedure!Goretti H. Taghva MD FACS
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January 15, 2019
Answer: Asian Rhinoplasty under local anesthesia? Seek out a Board Certified Facial Plastic Surgeon with vast experience managing esthetic rhinoplasty issues, and you will be on the right path. Limited surgery of the Asian nose including dorsal augmentation and tip work can easily be performed under either local anesthesia or IV sedation plus local anesthesia. If septal, turbinate or extensive bony remodelling is in the cards, then either IV sedation or General anesthesia may be more appropriate. Discuss these options with your chosen rhinoplasty specialist, and once you are comfortable with the available anesthetic options, chose your best method of anesthesia that might allow you to achieve your new fabulous nose!
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January 15, 2019
Answer: Asian Rhinoplasty under local anesthesia? Seek out a Board Certified Facial Plastic Surgeon with vast experience managing esthetic rhinoplasty issues, and you will be on the right path. Limited surgery of the Asian nose including dorsal augmentation and tip work can easily be performed under either local anesthesia or IV sedation plus local anesthesia. If septal, turbinate or extensive bony remodelling is in the cards, then either IV sedation or General anesthesia may be more appropriate. Discuss these options with your chosen rhinoplasty specialist, and once you are comfortable with the available anesthetic options, chose your best method of anesthesia that might allow you to achieve your new fabulous nose!
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January 14, 2019
Answer: Is Rhinoplasty under local anesthesia a good idea? There are some things that can be done under local anesthesia with the nose, but I don't recommend doing rhinoplasty under a local anesthesia. I would recommend at least using IV sedation, commonly called twilight sleep or conscious sedation. I've performed many this way and my patients do very well.
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January 14, 2019
Answer: Is Rhinoplasty under local anesthesia a good idea? There are some things that can be done under local anesthesia with the nose, but I don't recommend doing rhinoplasty under a local anesthesia. I would recommend at least using IV sedation, commonly called twilight sleep or conscious sedation. I've performed many this way and my patients do very well.
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