Can my nasal tip be deprojected and lifted up under local? (Photos)

Question

Had rhino in the past and tip unfortunately dropped. Can you tell me, can my tip be rotated up and deprojected under local anesthesia in the office?

Thomas A. Mustoe, MD, FACS · Answer

Lifting nose can easily be done in office as minor procedure under local anesthesia although oral sedation with pills is helpful to make the experience less stressful.  In some cases the tip can be deprojected (tip rhinoplasty) with local anesthesia and oral sedation but that involves a formal tip rhinoplasty which is more involved.  An in person consultation would be necessary.  Most surgeons would prefer to do this in operating room under deeper levels of anesthesia.

Steven M. Denenberg, MD · Answer

If by "local," you mean injecting the nose to make it numb, *and some IV sedation*, then yes, we never use inhalation general anesthetics for rhinoplasty or revision rhinoplasty. If you mean being wide awake and having a five-minute procedure, then no: your operation would be hours of complicated surgery, and you wouldn't want to do that wide awake. It can't be done with filler injections, and it's a complicated, but do-able, procedure

Toby Mayer, MD · Answer

Revision rhinoplasty to deproject the tip etc. under local anesthesia? No! This would not be smart since other parts of the nose need to be done to balance the nose. See a  very experienced revision rhinoplasty surgeon to discuss specifically what will need to be done to achieve your goals.

Suleyman Tas, MD, FEBOPRAS · Answer

Hello, thank you for the question and provided information. Based on them, yes you seem to have projection issue and hanging columella. Revision rhinoplasty is more challenging than primary, so general anesthesia is prefered for patient's comfort and safety. Your columella can be fixed and you can have improved, balanced and more symmetrical nose.Kind Regards,

Jeffrey Jumaily, MD · Answer

I do a lot of revision rhinoplasty procedures and I don't advise you to have this done under local. It's uncomfortable and you're less likely to get the results you want. Consider a consultation with a rhinoplasty specialist to discuss your goals and how to best achieve the nasal appearance that you want. Best wishes

William Portuese, MD · Answer

NO, revision rhinoplasty and primary rhinoplasty procedures are performed under general anesthesia for patient safety and comfort. Rhinoplasty is a surgical procedure performed in a formal operating room, not the backend of a clinic. The hanging columella can also be reduced in addition to decreasing the projection of the nose. The photographs demonstrate a recessive chin profile. Consider placement of a chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the overly projecting nose from the side profile.

Richard W. Fleming, MD (retired) · Answer

My first response is NO, but I have done minor tip revisions under local anesthesia. It does depend on exactly how much change you want. I need to examine a patient like you and discuss the options. You ask if it can be done in the office; yes in the office operating room.

Can my nasal tip be deprojected and lifted up under local? (Photos)

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