The short answer is yes, but not in our practice. Nose surgery or RHINOPLASTY especially if It requires septal or functional work should be performed under general anesthesia. The complexity of RHINOPLASTY, with or without functional components can be uncomfortable under local anesthesia.
Therefore, all our procedures are performed under general anesthesia by a Board-certified Anesthesiologist. Also, the facility that we use is a fully staffed and certified outpatient surgery center directly attached to a major hospital.
This environment of board-certified anesthesiologists and a fully accredited facility associated with a hospital maximizes patient safety and helps to ensure maximum outcomes. The development of general anesthesia techniques has been one of the major developments in medicine. Prior to the development of these general anesthesia techniques surgery was very difficult to perform.
RHINOPLASTY
General anesthesia eliminates discomfort for the patient, therefore allowing the Surgeon to perform to his maximum potential. Occasionally, a difficult area of the procedure may be encountered by the Surgeon and the administration of additional local anesthesia may be risky.
In other words, it is impossible to achieve the complete absence of pain and discomfort for the patient with only local anesthesia for certain procedures. There have been in the past very skilled surgeons who have performed these procedures under local, but even those surgeons of the past have run into difficulties.
Therefore, it is my opinion that RHINOPLASTY to achieve the best results should be done in your general anesthesia. We take great precautions preoperatively to achieve maximum clearances for our patients to create the safest environment possible.