Dear Trompuda1, I would ask for the anesthesia you are comfortable with. While this could be done under local my preference is to use general to make sure the patient is comfortable, blood pressure is controlled, no anxiety and the patient wakes up happy with no discomfort involved. Best regards, Michael V. Elam, M.D.
Some patients can have revisional procedures with local anesthesia only. Others demand a general anesthetic. You need to decide which patient you are and insist on the proper level of anesthesia.
One of the most important situations that need to be present at the time of any surgical situation is that the patient is calm and comfortable. Otherwise the patients blood pressure will be elevated and cause excessive bleeding or the patient may move uncontrolled and cause a surgical accident. Get the anesthesia you need.
These procedures can be done under local anesthesia but if you are already very anxious about it, I would not recommend you do it this way. Remember, the margin of error on dorsal reductions is small and he could underdo it again. With you moving and complaining, it will be harder on your surgeon. I would recommend general anesthesia.