Will alarplasty be painful or uncomfortable under local anesthesia? (Photo)

Question

Trying to make a decision if I'm going to have my alarplasty done under local anesthesia because it is cheaper but I'm afraid of pain! I fear needles badly. I don't wanna flinch or make a wrong move and it messes up my nose! I'm also worried I'm going to need more work done after I go because my nostrils won't match my nose but I'm trying to avoid a open procedure I'm scared of waking up with a whole new nose.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from reduction of the width of your alar base.  I would recommend general anesthesia for the best result.  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

David Shamouelian, MD · Answer

Typically alarplasty alone can be performed under local anesthesia and it is well tolerated. If this is performed in conjunction with a formal rhinoplasty I would recommend more anesthesia depending on your surgeon's preference.

William Portuese, MD · Answer

In our practice, we perform most  alar-plasty procedures under local anesthesia.  this requires one shot of lidocaine below each nostril which is very tolerable. General anesthesia would not be needed.

Steven Wallach, MD · Answer

Yes, an alar base can be done at local, but if you are anxious you are better to be sedated.  Good luck.

Will alarplasty be painful or uncomfortable under local anesthesia? (Photo)

Answers (4)

Answer: Alar base

Answer: Alar base

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Will alarplasty be painful or uncomfortable under local anesthesia? (Photo)

Answers (4)

Answer: Alar base

Answer: Alar base

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Recommended reading

Everything you need to know about Alarplasty

Our mission is to create a world where every investment in modern beauty is Worth It.