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

Question

Hi, I am wondering if it would be possible to get my nasal hump rasped under local anesthesia? I am 100% set on not doing a full surgery, I would rather live with the bump.

Andrew Miller, MD · Answer

While a tiny bump can be filed down under a local anesthetic, your bump looks too big to do that with. If the bones are not brought in after the filing, an open roof deformity will persist which doesn't look good. Be sure to see a rhinoplasty expert for consultation.

Daniel Barrett, MD · Answer

Dear billiebob1234,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

Rhinoplasty can be done under outdo anesthesia but you need more than just filing the bridge.. that alone won’t get a good result.

Robert Ciardullo, MD · Answer

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.

Darryl J. Blinski, MD · Answer

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....

William Portuese, MD · Answer

No,  you have a fairly large hump, which is composed of both bone and cartilage. Once you take the hump down, you'll be left with an open roof, flat top nasal deformity. Osteotomies placed in the nasal bones are then necessary to close the open roof and to give you a natural nose. That's the reason a cast is placed across the bridge of nose just to hold the nasal bones in their new and more narrow position after the hump removal itself. In our practice, Rhinoplasty procedures are performed under general anesthesia by a board certified physician anesthesiologist for patient safety and comfort.

Laurentiu Blaga, MD · Answer

Hey, thank you for your question!Though it is difficult to judge on your single picture, it is probable that, rasping the hump will leave an open bridge which will need to be closed by lateral osteotomies. Though it is probably the most aggressive part of the rhinoplasty, it can well be done under twilight anesthesia with a good anesthesiologist in a day care setting

Angel Appiani, MD · Answer

We can do a rhinoplasty under local anesthesia, but you have to think that only a rasp it´s not the best way to improve your dorsum shape. There are modern techniques that preserves the natural lines of your nose, and obtaining natural results.Thanks for your question

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

Answers (8)

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