Rhinoplasty Without Using Anesthesia

Yes, you can have your nose done this way. You should choose an experienced rhinoplasty surgeon who does this with very little pain. You can have it done with "twilight" anesthesia so you feel nothing.

I would recommend having some type of anesthesia with your rhinoplasty-- there are 2 widely accepted ways of doing this:  first is with a traditional general anesthestic, and the the second is with conscious sedation.  Both ways involve an IV and are common and safe.  In fact, I think trying to perform the procedure with just local anesthetic only will make it more difficult for the surgeon and potentially increase certain risks for you.  Modern anesthetic is quite safe as long as your overall medical health is good and you have no personal or family history of anesthetic complications.  I would recommend talking to one or more surgeons who perform rhinoplasty to see what there thoughts are as well, not just about your cosmetic goals but about their experience with the safety of the procedure.