Hi, i was wondering if it is possible to do a rhinoplasty under local anesthesia for the type of nose i have. I dont want to go under general anesthesia as the thought of it just scares me .
Answer: Can a rhinoplasty be performed under local anesthesia? Can a rhinoplasty be performed under local anesthesia? The simple answer to the question is yes. In fact in the past it usually was done under local anesthesia with some sedation. However most surgeons have evolved towards general anesthesia. It is a much more comfortable and civilized way of performing the procedure. In many cases general anesthesia is also safer than local anesthesia with sedation. If someone has straight local anesthesia and no sedation, It should be safe because the fully awake patient can cough and swallow blood and saliva that will drip down the back of the throat. However sedation may dull the gag reflexes and heavy sedation may completely dull them. This is the most dangerous way to perform surgery since the bleeding and saliva excretions may be aspirated which could be a serious problem , even fatal in rare cases. With general anesthesia there is control of the airway and a means of preventing aspiration. So the safest ways are general anesthesia and straight local. Very light sedation in many cases is probably OK but heavy sedation is the most dangerous and ironically more dangerous than general anesthesia. It would also be a very unpleasant experience for most patients unless they were having very limited work such as a limited tip plasty, or nostril tuck which are more amenable to local anesthesia then bridge work involving the bones.
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Answer: Can a rhinoplasty be performed under local anesthesia? Can a rhinoplasty be performed under local anesthesia? The simple answer to the question is yes. In fact in the past it usually was done under local anesthesia with some sedation. However most surgeons have evolved towards general anesthesia. It is a much more comfortable and civilized way of performing the procedure. In many cases general anesthesia is also safer than local anesthesia with sedation. If someone has straight local anesthesia and no sedation, It should be safe because the fully awake patient can cough and swallow blood and saliva that will drip down the back of the throat. However sedation may dull the gag reflexes and heavy sedation may completely dull them. This is the most dangerous way to perform surgery since the bleeding and saliva excretions may be aspirated which could be a serious problem , even fatal in rare cases. With general anesthesia there is control of the airway and a means of preventing aspiration. So the safest ways are general anesthesia and straight local. Very light sedation in many cases is probably OK but heavy sedation is the most dangerous and ironically more dangerous than general anesthesia. It would also be a very unpleasant experience for most patients unless they were having very limited work such as a limited tip plasty, or nostril tuck which are more amenable to local anesthesia then bridge work involving the bones.
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September 10, 2022
Answer: Possible to do a rhinoplasty under local anesthesia Since there are lots of nerve endings in the nose it would be nearly impossible for you to tolerate the injections alone to get the nose numb. Shaving down the bony dorsal hump and making cuts in the nasal bones called osteotomies are going to be required for your nose. It would be nearly impossible to get you completely numb during the procedure itself and you'll have conscious awareness. You simply will not be able tolerate that under local anesthesia. In our practice, we use board certified physician anesthesiologists for patient safety and comfort. It's also important have a breathing tube in to protect your airway and preventing blood down into the back of your throat and lungs
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September 10, 2022
Answer: Possible to do a rhinoplasty under local anesthesia Since there are lots of nerve endings in the nose it would be nearly impossible for you to tolerate the injections alone to get the nose numb. Shaving down the bony dorsal hump and making cuts in the nasal bones called osteotomies are going to be required for your nose. It would be nearly impossible to get you completely numb during the procedure itself and you'll have conscious awareness. You simply will not be able tolerate that under local anesthesia. In our practice, we use board certified physician anesthesiologists for patient safety and comfort. It's also important have a breathing tube in to protect your airway and preventing blood down into the back of your throat and lungs
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