Rhinoplasty under local anesthesia? It seems like nobody is willing to perform a nose job without general anesthesia, but why?

dear doctors i am looking for somebody who can perform rhinoplasty with local anesthesia, i dont know for what reason but all surgeons i met do rhinoplasties "ONLY UNDER GENERAL", but whats the logic/reason? if open heart surgery, all kind of organ transplants and even brain tumor surgeries nowadays are being performed under local anesthesia then why not nose jobs? i have had several nose jobs in the past but this last time i want to be awake during, (especially if it takes only 1-2 hours), thx

Doctor Answers 2

Rhinoplasty under local anesthetic?

The reason most doctors don't to do rhinoplasty under local anesthesia is patient anxiety and cooperation. I perform rhinoplasty under local anesthesia in patients who are cooperative and have no anxiety about being awake while they hear nasal bones being fractured. 

Beverly Hills Facial Plastic Surgeon
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Awake and rhino

Organ transplants, open heart surgery ,and others you mention are virtually never performed with the patient awake. Neurosurgery if a patient is required to move to test movements is the only occasion. In the 1960s and 1970srhinoplasty was sometimes performed with the patient semi awake or sedated but rhinoplasties were simpler and more primitive in what they could do then and often involved only 30 mins of time. Modern rhinoplasty is more complex, exactly and sophisticated and even more complex in your case if it is a revision. The best option is a full general and the safest for you and allows the surgeon to do their best job without you moving.

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