Is Tip Rhinoplasty Painful? Local Anesthesia

Performing a rhinoplasty with local anesthetic is possible, but I would recommend additional IV sedation or twilight sleep. The pain after a rhinoplasty is minimal with a tip adjustment.
I like the patient to have a natural result. Even though you have minor concerns such as a bit long nose and depression of the tip, your plastic surgeon needs to look at facial balance. The size of the nose in relation to the width of the face and position of the chin. On the profile, the chin position is very important if the nose is a bit long and the chin is slightly retruded.
So you may need adjustment of the depressor muscles of the tip, shaving of the bone and cartilage, and evaluation of the chin position. Pain after a rhinoplasty is individual to each patient.

Hello,
Although rhinoplasty may be done under an IV sedation, I prefer to use general anesthesia. It is the best option for the patient and they will be more comfortable. In general, pain after surgery is minimal. Most people take Tylenol after surgery. Thank you, and best of luck to you.
Dr. Nassif

Hi Gvaa - If you're getting the procedure done under local anesthesia I would expect that not a lot of work needs to be done. So, your pain should be well controlled with oral pain medicine. However, if major work is going to be done including bone work, you may want to consider sedation or general anesthesia. Talk with your surgeon to see what exactly is involved and do what makes you feel the most comfortable. Good luck!