Rotate Tip Under Local Anesthesia?

Question

Is it possible to rotate nose tip upwards slightly under local anaesthesia? That is, without doing it as an actual rhinoplasty surgery in the surgery room but more like a dentist visit?

Toby Mayer, MD · Answer

Nasal tip rotation done under local anesthesia is frequently done. This is much like going to the dentist and takes less than 30 minutes. See an experienced rhinoplasty surgeon.

Steven J. Pearlman, MD, FACS · Answer

Sometimes all someone needs is a little nasal tip rotation. This can be achieved under local anesthesia. However, more often the nose is in balance before and needs to be symmetric after. A drooping nasal tip is often accompanied by other findings such as a small hump or a widened tip. Rotating the tip alone will create imbalance. To get the best advice you should seek out a specialist in rhinoplasty. They can discuss the merits of a minor vs complete nasal surgery. I find imaging is very helpful to demonstrate these concepts.

Eric M. Joseph, MD · Answer

In order to obtain tip rotation, your tip cartilages will need to be exposed and reconstructed. Since your nose is part of your airway, I prefer to perform nearly all Rhinoplasty Surgeries with general anesthetic.

	A non-surgical rhinoplasty procedure using fillers may be performed with topical anesthetic in the office, but non-surgical rhinoplasty procedures are not helpful for achieving tip rotation.

	I hope this is helpful for you.

Jeffrey Epstein, MD, FACS · Answer

In most cases, limited tip work, as you are describing, can be performed under local anesthesia sometimes with an oral sedative. To best determine what you would need, it would be advisable to have an evaluation either in person or by email sending in of photos.

Steven Wallach, MD · Answer

I would not do a tip procedure under straight local.  It is nothing  like getting a cavity filled.  Trust your surgeon and do it under sedation or general.

Richard W. Fleming, MD (retired) · Answer

Nasal tip rotation can be done under local anesthesia, but I would not say it is like going to the dentist. The procedure should be performed in a sterile operating room environment.

Rotate Tip Under Local Anesthesia?

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