Is Oral Sedation an option for a Rhinoplasty?

Is oral sedation an alternative to anesthesia for a rhinoplasty?

Doctor Answers 5

Can I Have Oral Sedation for a Rhinoplasty or is Anesthesia my Only Option?

 I have performed Rhinoplasty for well over 20 years and yes, you could have oral sedation but I'd ask why would you?  Oral sedation and IV sedation were the old ways Rhinoplasty was performed before the newer rapid acting anesthetics came on board and revolutionized the way Rhinoplasty is performed.  The most important aspect of any surgery is your safety and the number one priority for your safety is to secure the airway.  This is done with an ET tube or LMA both of which require a general anesthetic.  This is the only way to have a Rhinoplasty IMHO.

Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Oral Sedation for Rhinoplasty Not a Great Idea

In many types of procedures, Rhinoplasty included, Anesthesia is your friend.  I prefer IV sedation for most cases, with Rhinoplasty as the exception.  Airway protection in the form of an endotracheal tube is preferable for most Rhinoplasty cases.  Anesthesia provides pain control and amnesia of the events that occur in the operating room.  If you aren't a candidate for anesthesia for health reasons, you probably aren't a candidate for Rhinoplasty.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

I.V. sedation vs general anesthesia during a rhinoplasty...

IV sedation during a rhinoplasty is usually not the recommendation of most plastic surgeons. With general anesthesia the airway is protected from any blood that may drip down the back of the throat. Also, you will be in a relaxing state of sleep, so you won't feel anything that is happening during surgery. When you wake up it will all over and you won't remember a thing. With IV sedation, you may move some which could disrupt surgery and you may start coughing which could endanger the airway. Safety is always very important, so discuss your options with your board certified facial plastic surgeon. 

Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 205 reviews

Both can be done

It really depends on mutiple factors, what your urgeon, anesthesiologis are comfortable with and the trent in the facility. The type and duration of nose work is also a factor. So the the answer to your question is yes, it can be done either way, but it is your surgeon who wil decide what is apprpriate.

Moneer Jaibaji, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 15 reviews

Anesthesia for rhinoplasty

This is a good question. The type of anesthesia depends upon a discussion you have with your surgeon and anesthesiologist. Most cases are performed under general anesthesia but sometimes intravenous sedation is used for limited work on the tip or certain cases of minor revisions. Good luck!

Richard Chaffoo, MD, FACS
San Diego Plastic Surgeon
4.8 out of 5 stars 20 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.