Thanks for your inquiry. A
septoplasty with turbinate reduction can be done without opioid
medication. There are other medications
that we can give to make you comfortable after the procedure. I would not recommend NSAIDS because they can
lead to bleeding, but there are definitely other medications available for
this. Local anesthesia can also be
provided to keep you comfortable in the immediate postoperative period. This would be a great question to ask your
plastic surgeon during your consultation.
I hope this helps.
The use of long-acting numbing medication combined with a light general anesthesia makes the rhinoplasty/septoplasty experience pleasant and very tolerable. Meet with a board-certified plastic surgeon or facial plastic surgeon experienced in rhinoplasty to discuss your specific needs. Good luck and best wishes.
Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
Beverly Hills, California
The answer is yes to all of your questions relative to performing your rhinoplasty without opioid medication. Discuss all this with your plastic surgeon.
Septorhinoplasty can be done without opiate medications. Tramadol is a non-opiate medication that we prescribe for patients who do have difficulty with opiate meds.
A rhinoplasty can be done with local anesthesia with lidocaine and Marcaine and nothing more then extra strength Tylenol would be needed after See a very experienced rhinoplasty surgeon who is familiar with these techniques and does natural noses
There are many different drugs and combinations of drugs to use in treating and controlling pain. I've always been able to keep post-operative patients comfortable regardless of their addictions, allergies, or need to avoid specific narcotics.
I agree with the other experts that non opiod medications can be successful to treat post operative pain. In addition to the drugs mentioned, I find the injecting a long acting local anesthetic at the end of the procedure, along with a steroid such as Decadron, allows the patient to awaken totally pain free from the operation. I find Ultracet and Celebrex to be the best supplemental oral meds post op.
Dear 0username0, Septorhinoplasty with turbinate reduction is not a painful procedure for most of my patients and I have many patients who do not use opioid medications due to either past addiction or history of nausea. Tylenol intravenous drip is very effective in the recovery room and pain management can be taken care of with other medications. For patients like yourself I set up a consultation with my anesthesiologist so that a full history of your past problems can be reviewed as well as a proper post operative pain management plan can be discussed. I do not use typical packing or splints which many surgeons use and this can be a cause of discomfort for some patients. See the video above for an example of a typical patient response. See the link below for examples of septorhinoplasty before and afters. Best regards, Michael V. Elam, M.D.
First of all, it is important to find a surgeon who does not put any packing inside the nose. Packing is painful and unnecessary. In our practice, most patients take a few medium strength Vicodin pain pills for the first few days after the surgical procedures. Most NSAID's can cause a nose bleed except Celebrex, so that might be an option.
Hello,You'd be the first person in history who can't take any opioids, since your body makes them all the time. I would consult with a doctor regarding exactly what you believe the problem is with them, and have a thorough discussion. Tramadol is not an opioid, its an NSAID. Best of luck!