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
Answer: Possible but not ideal Hello, while it appears most of your concerns are related to the tip, it is important to remember that typically specialized rhinoplasty surgeons prefer to take a comprehensive approach to the nose to ensure that your final result is adequately balanced, as changing one feature of the nose can often alter the appearance of another.
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Answer: Possible but not ideal Hello, while it appears most of your concerns are related to the tip, it is important to remember that typically specialized rhinoplasty surgeons prefer to take a comprehensive approach to the nose to ensure that your final result is adequately balanced, as changing one feature of the nose can often alter the appearance of another.
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November 3, 2023
Answer: Tipplasty under local anesthesia Hi TaylorI just don't recommend tipplasty. I do not recommend it under local anesthesia. If it is to happen, it should all be together because a disproportionate image will emerge. The top side is different, the bottom side is different. It would be better if the bullous type appearance is essentially corrected under general anesthesia, without touching the upper part too much. If you have a photo from the side, if you share it, at least the projection will be evaluated.
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November 3, 2023
Answer: Tipplasty under local anesthesia Hi TaylorI just don't recommend tipplasty. I do not recommend it under local anesthesia. If it is to happen, it should all be together because a disproportionate image will emerge. The top side is different, the bottom side is different. It would be better if the bullous type appearance is essentially corrected under general anesthesia, without touching the upper part too much. If you have a photo from the side, if you share it, at least the projection will be evaluated.
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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.
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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.
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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.
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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.
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July 17, 2023
Answer: Well, sorry, no, your nose requires more work than that... You have two very strong and asymmetric tip cartilages, like the woman whose before and after I posted with this answer. You can see and feel the little dent between those cartilages. And the bridge looks wide as well, and also asymmetrically wide. Minor shaving would make no changes to your nose -- in face, you should run from any surgeon who suggests it! However, with IV sedation, you don't need general anesthesia and a breathing tube, so maybe that would be a compromise for you.
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July 17, 2023
Answer: Well, sorry, no, your nose requires more work than that... You have two very strong and asymmetric tip cartilages, like the woman whose before and after I posted with this answer. You can see and feel the little dent between those cartilages. And the bridge looks wide as well, and also asymmetrically wide. Minor shaving would make no changes to your nose -- in face, you should run from any surgeon who suggests it! However, with IV sedation, you don't need general anesthesia and a breathing tube, so maybe that would be a compromise for you.
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