Rhinoplasty Recovery Guide 👃 - 17 - Is it Possible to Conduct Rhinoplasty Without the Use of General Anesthesia?

Is The Nose Aesthetic Surgery Performed Under Local Anesthesia?

Is it ok to perform open rhinoplasty under local anesthesia?

Nasal aesthetic surgeries are performed under general anesthesia as a standard and local anesthetic drugs are routinely injected into different regions on the nose. That is, both general anesthesia and local anesthesia are performed at the same time. Local anesthesia reduces blood loss during surgery and provides us with more comfortable working conditions. This, in turn, reduces the postoperative pain. Nasal cosmetic surgery can be performed under local anesthesia alone. For example, general anesthesia may not be given when two small operations, such as limited nasal hump rasp, nasal aesthetic, nose tip lifting or nose tip plasty are performed at the same time. Injection of local anesthetic drugs into each side of the curved nose, with advanced septum deviation and septum deviation at the back, may not be possible and the duration of the surgery is long. In these cases, the choice of general anesthesia is the comfort of the patient and we also make it easier to perform the surgery. In addition, general anesthesia can be performed under local anesthesia in the presence of a systemic disease that constitutes an obstacle.

Are the risks of anesthesia increasing in busy and crowded hospitals?

In hospitals where we plan to operate, we need to be careful not to have an intensive care specialist apart from an anesthesiologist, to have sufficient intensive care conditions, not to be a busy hospital. The hospital equipment and surgical equipment in sufficient density to the surgical works; the risks of anesthesia may not increase. I would like you to ask us if you have a problem with our hospitals, internet sites and you have a problem with your mind.

While local anesthesia and sedation offer several benefits, it's important to note that not every rhinoplasty candidate is suitable for this approach. Factors such as the complexity of the procedure, patient preferences, and the surgeon's recommendation all play a role in determining the most appropriate anesthesia method.

In recent years, there has been growing interest in performing rhinoplasty without general anesthesia, raising questions about its feasibility, safety, and patient experience.

Local anesthesia with sedation is one alternative option that has gained popularity for certain rhinoplasty procedures. In this approach, local anesthetic agents are injected into the nasal tissues to numb the area and minimize discomfort during surgery. Additionally, patients may receive sedative medications to induce a state of relaxation and reduce anxiety. While local anesthesia with sedation allows patients to remain conscious during the procedure, it provides effective pain control and can enhance patient comfort.

One of the primary advantages of performing rhinoplasty under local anesthesia with sedation is the avoidance of potential risks associated with general anesthesia. General anesthesia carries inherent risks, including respiratory depression, allergic reactions, and adverse effects on cardiovascular function. By using local anesthesia with sedation, these risks are minimized, making the procedure safer for certain patients, particularly those with underlying health conditions or concerns about anesthesia.

Furthermore, performing rhinoplasty under local anesthesia with sedation can offer logistical benefits for both patients and surgeons. Since patients remain conscious throughout the procedure, there is no need for endotracheal intubation or mechanical ventilation, simplifying airway management and reducing the duration of recovery. Additionally, patients can typically return home on the same day as the surgery, avoiding the need for overnight hospitalization.

However, it's essential to recognize that not all rhinoplasty procedures are suitable for local anesthesia with sedation. Complex or extensive surgeries may require a higher level of anesthesia to ensure patient comfort and safety. Surgeons carefully evaluate each patient's individual needs, medical history, and surgical requirements to determine the most appropriate anesthetic approach for their specific case.

Another consideration when opting for rhinoplasty under local anesthesia with sedation is the patient experience. While some individuals may feel more comfortable remaining conscious during the procedure, others may prefer the unconscious state induced by general anesthesia. Open communication between patients and surgeons is crucial in addressing any concerns or preferences regarding anesthesia and ensuring a positive surgical experience.

In conclusion, performing rhinoplasty without general anesthesia is feasible for certain patients, thanks to advancements in anesthesia techniques and patient care. Local anesthesia with sedation offers an alternative option that can provide effective pain control, minimize risks associated with general anesthesia, and offer logistical benefits for patients and surgeons. However, the suitability of this approach depends on various factors, including the complexity of the surgery and the patient's preferences. Ultimately, patients should discuss their options with their surgeon and make an informed decision based on their individual needs and concerns.

Dr.Murat Enoz Talks About "Nasal Aesthetic Surgery Without General Anesthesia"

The information in this guide was prepared by Dr.Murat Enöz for patients who underwent rhinoplasty. 
You can find different opinions and suggestions from other clinics and doctors. Please take into consideration 
the recommendations of the doctors who performed your aesthetic nose surgery. Sometimes drug names given here 
only in Turkey may also belong to the drugs found. Plenty of luck :)
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47