I'm looking for a plastic surgeon who is skilled at nose reconstruction under local or twilight. I am scared.

Hi. I'll spare from posting details here but something happened to my septoplasty rhinoplasty many years ago. I had it in a safe position until I could get it fixed. Due to unfortunate circumstances last year, the positioning was compromised and I have been struggling to make sure it is back in a safe place since. I am hoping it is okay until I can get it repaired. Out of stress, I began to smoke filterless organic cigarettes this year and am quitting soon. Please let me know if you can helpThx

Doctor Answers 2

Revision rhinoplasty candidate

  A revision rhinoplasty and septoplasty is more difficult than a primary rhinoplasty and septoplasty, therefore more details, and a full set of photographs are required to make a decision what can  and cannot be accomplished with the procedure. In our practice, we perform all rhinoplasty surgeries under general anesthesia in a licensed and certified outpatient surgery center.  General anesthesia is performed by a board-certified physician anesthesiologist for patient safety and comfort. In our practice, we do not recommend performing a rhinoplasty procedure under local anesthesia or twilight sedation, due to the fact that there's  an uncontrolled airway, bleeding going down the back of the throat/lungs, and patients will have conscious awareness of the nasal bones being broken which is extremely painful. It's also best to get your anxiety under control to be able to undergo a secondary rhinoplasty and septoplasty procedure


Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Nasal Surgery Under Local or Twilight Anesthesia

I will use only local anesthesia for very limited rhinoplasty procedures. Both twilight and inhalation anesthesia are used for most rhinoplasty surgery depending on what will be done. Details are necessary to to make recommendations for you.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.