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!

The concerns you have with your nose will likely require more than just tip work. The dipping of the nose and the fact that you do not like the length will require alteration of cartilage and likely the depressor septi muscles of the nose. Surgery can be difficult and I would strongly suggest IV sedation at a minimum, for this particular rhinoplasty surgery. The money you will spend on anesthesia could be the best money you have spent in years.

Your pain after Rhinoplasty Surgery will be minimal. Most of my patients consume only a few narcotic pain reliever tablets, and some require none. Pain after Rhinoplasty is not dependent on the extent of the procedure. Even surgeries with septal, tip, and bony work do not cause a lot of pain. I almost never use nasal packing since it is usually unnecessary, and is a cause of post-surgical discomfort.
I favor general anesthetic for Rhinoplasty Surgery. There are many prominent surgeons that use local anesthetic along with intra-venous sedation. I would not advise Rhinoplasty Surgery with only local anesthetic.
I hope this is helpful for you.