Rhinoplasty under local anaesthesia? (Photo)
Doctor Answers 20
Rhinoplsty and Local Anesthesia
Good question. While it is technically possible to reposition the septum under local anesthesia I would not recommend it. The injections are quite uncomfortable and it will be hard to maintain good numbness and comfort if the problem with your septum should extend far back into the nose. Finally, while correcting/shortening the septum will help nostril asymmetry, it may not completely fix the problem. Sometimes it is also necessary to correct the size and shape of the nostril itself.
While this procedure does not require general anesthesia, I think you should conscious sedation anesthesia by a anesthesiologist or nurse anesthetist, in a qualified office or out-patient setting.
I hope this helps. Good luck!
That's a definite "maybe." :-)
However, if there are deviations further back that need to be addressed, it is much better for that to be done under general anesthesia such as at an outpatient surgery center, primarily for reasons of comfort and control of blood and secretions.
All the best,
--David C. Pearson, M.D.
Pearson Facial Plastic Surgery®
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Rhinoplasty under local anesthesia
I have performed several septorhinoplasties under local anesthesia
So far, every patient has been able to complete the surgery without the sedation intravenously. Even in my normal practice, I rarely use general– only intravenous sedation.
As an aside, I find sometimes people seeking surgery under local anesthesia are doing so mostly as a cost containment effort. I do not discount for rhinoplasty under local with anesthesia standby. Why?
The cost of doing the procedure is the same as when doing it under anesthesia, and the surgical skill level required to perform nasal surgery on an awake patient under local is actually much higher than when treating a patient under general anesthesia.
To date, my patients who have agreed to the treatment plan above and proceeded with local anesthesia alone have been quite satisfied!
Rhinoplasty under local anaesthesia?
Rhinoplasty under local?
Local anesthesia is feasible, but it's sooooo... nice to have a little IV sedation.
G. Gregory Gallico, III, MD, FACS
Rhinoplasty is a serious operation
One of the traps in rhinoplasty is thinking that trying to make a small change to your nose makes for an easier operation. In many cases the exact opposite is true!!!! Trying to produce a minor change is often the most challenging rhinoplasty because there are so many forces at play: a patient's tissues, scaring, the quality of the skin as well as the patients expectations, which are often higher than when someone has a major problem such as a big bump.
Rhinoplasty is a very delicate operation and to get the best results takes time, patience and finesse. The last thing you want is for your rhinoplasty surgeon to be rushing because you are uncomfortable or agitated on the table under local anaesthetic.
The majority of contemporary rhinoplasty surgeons use an open approach to rhinoplasty. As such every rhinoplasty is equally invasive i.e. there is no minimally invasive rhinoplasty they are all pretty much the same.
I know having something done under local anaesthetic sounds like a safer option or less invasive, but again the very opposite may be true. There are significant risks involved in any operation but a rhinoplasty in particular involves the airways and so having an anaesthetist present who can protect your airway will allow your surgeon to focus on what he or she must focus on which is getting the best result for your nose.
I hope you find that information helpful