We prefer general anesthetic for the majority of patients requesting rhinoplasty surgeries in our practice.
Even if you do not require bony work, you may need to have cartilage harvested from your nasal septum to achieve a narrower tip appearance, and to add tip support. Since your nose is part of your airway, we advise protecting your airway with general anesthetic and an orotracheal tube. Some surgeons may consider performing tip rhinoplasty and alarplasty with local anesthetic, but IV sedation may be necessary to keep you comfortable. Hope this helps you. Dr Joseph
Rhinoplasty under local anesthesia as a very bad idea
Trying to perform a rhinoplasty under local anesthesia is A very bad idea since it will be very painful and uncomfortable. There are too many nerve endings in the nose to be comfortable trying to perform the surgery under local anesthesia. In addition, blood will be pooling down the back of the throat. In our practice, we perform all rhinoplasty procedures under general anesthesia by a board certified physician anesthesiologist. An standalone alar -plasty can be performed under local anesthesia.
Hello and thank you for your question. There are some surgeons who do this under local anesthesia I am sure. I do not. For the best results in my hands, I prefer general anesthesia with a board-certified doctor anesthesiologist in the room at all times. Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
You could, but you would not be happy and the result might not be as good as if you were asleep. I do the surgery usually under sedation which makes the patients happy, because they feel nothing. Putting in the local is painful without sedation and the anesthesia does add to the cost, but it is worth it.
a full tip rhinoplasty under local is difficult and you would probably sacrifice result by not having anesthesia. An alar base reduction is very possible under local, as is an open columella plasty. So the answer is yes and no. Costs will vary based on overall plan.
While it can be done with local, sedation or general is more comfortable. If you go under straight local and are uncomfortable during the procedure, how would you like your surgeon to proceed. I am sure he would not want you to be uncomfortable during the procedure. I have a fully accredited facility and use board certified anesthesiologists in my office. Good luck.