Can I have my nasal hump rasped under local anesthesia? (Photo)

Could you have your dorsal hump rasped under local anesthesia? It is theoretically possible to rasp a dorsal hump under local anesthesia. A few decades ago most Rhinoplasties including full Rhinoplasties were performed under local anesthesia with a patient awake and in some cases mildly sedated. Bear in mind however that removing a dorsal hump does not only involve rasping. Once the hump is rasped away the bridge of bone connecting the two sides is absent and there is a gap between the two bones. This is called a “open roof“. To bring the two nasal bones together, narrowing the bridge, and closing the roof, the bones must be cut with a chisel from the facial bones and moved together in the midline to close the roof. This may be loud and emotionally disturbing to an awake patient, but may be acceptable to others. Once again, decades ago full rhinoplasties were performed under local anesthesia. Many surgeons today are used to the patient being asleep which allows the surgeon to concentrate more on what he is doing and be less distracted by the potential of the patient being uncomfortable, in pain, or nervous about what’s going on.

Yes, but I would recommend IV sedation with the local anesthesia. Fees in the $3,500+++ ranges. Results might leave an 'open roof deformity'. Best to virtual with....