I Am Having Revision Rhinoplasty to Remove a Rib Graph. What Am I in Store For?

it depends entirely on the size and location of the graft - a small graft in an easy to reach area can be removed under local but not a large graft that is firmly seated and required to be dissected out

This could be a problem for the surgeon who finds that more work is necessary and doesn't have the degree of patient immobility and comfort needed to do his/her best work, or it may be a problem for you if the desired outcome requires another surgery, each subsequent one becoming more difficult or predictable!

Why local anesthesia? I assume your surgeon has access to full anesthesia and/or sedation in an accredited hospital, surgical center, or office surgical facility. If not, did you have your rib graft placed under local anesthesia by this doctor or by another doctor entirely? Assuming your surgeon is fully-credentialed and has all options for anesthesia available, this is being done to reduce costs--nothing wrong with that, particularly if you are paying the bill. But if this is recommended as a way of doing a "no-charge" revision surgery, this may end up being a waste, or worse, an error. And if you do decide to abort, then what? Where will the revision be done, under what anesthesia, and at whose cost? Keep your focus on the way to achieve the desired result for your nose--there is a reason there are so many questions about revision rhinoplasty in this forum!

Rhinoplasty is one procedure I will not perform without IV sedation or general anesthesia. Removal of a rib graft may or may not be quick and easy.