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.

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.

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