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

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.

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

 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.