All of the senior surgeons use to them mainly awake. Find one in your area who does them that way. I still do patients this way who don't want to be intubated.
Nose bleeds are never normal. It is unlikely that is is the result of a rhinoplasty. Irritation, dry (from heat or cold) weather, irritation or trauma are some of the causes of nose bleeds. Have a board certified plastic surgeon or ENT doctor assess you. Dr. Michael...