Is a tip rhinoplasty w/ minor shaving and straightening possible using local anesthesia and oral sedation? I’ve had an Otoplasty under local only and did well, and I really want to do my rhino this way, but finding a Dr to do this has been difficult. Can any improvements be made to my tip with this approach? Even if it is minor? Thank you
September 27, 2023
Answer: Awake Rhinoplasty with local anesthesia Hi, great question. Yes, it is possible. I do full rhinoplasties, and even difficult revisions under local anesthesia. Oral medications are given for pain and relaxation. However, I do not like IV sedation as this slightly deeper form can inhibit certain reflexes and increase risk for aspiration. Our patients love the "awake rhinoplasty" approach as it by passes anesthesia and it's associated issues. The surgery and results themselves are identical, so the results are not compromised in any way at all. Hope that helps! Good luck.
Helpful
September 27, 2023
Answer: Awake Rhinoplasty with local anesthesia Hi, great question. Yes, it is possible. I do full rhinoplasties, and even difficult revisions under local anesthesia. Oral medications are given for pain and relaxation. However, I do not like IV sedation as this slightly deeper form can inhibit certain reflexes and increase risk for aspiration. Our patients love the "awake rhinoplasty" approach as it by passes anesthesia and it's associated issues. The surgery and results themselves are identical, so the results are not compromised in any way at all. Hope that helps! Good luck.
Helpful
September 12, 2023
Answer: It is possible to perform the tip correction only Your nasal tip exhibits a bulbous appearance with a bifid tip shape, along with noticeable tip asymmetry and a slight retracted alar rim. It's essential to possess the expertise needed to prevent exacerbation of the retracted alar rim while correcting the bulbous tip through lower lateral cartilage realignment. When dealing with the lower lateral cartilage, achieving the desired results is challenging through simple shaving alone. Both trimming and realignment are typically required, and depending on the specific circumstances, cartilage grafting may also be necessary. Local anesthesia can be administered if preferred.
Helpful
September 12, 2023
Answer: It is possible to perform the tip correction only Your nasal tip exhibits a bulbous appearance with a bifid tip shape, along with noticeable tip asymmetry and a slight retracted alar rim. It's essential to possess the expertise needed to prevent exacerbation of the retracted alar rim while correcting the bulbous tip through lower lateral cartilage realignment. When dealing with the lower lateral cartilage, achieving the desired results is challenging through simple shaving alone. Both trimming and realignment are typically required, and depending on the specific circumstances, cartilage grafting may also be necessary. Local anesthesia can be administered if preferred.
Helpful
