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Anesthesia Options Virginia

Various types of Anesthesia can be used for rhinoplasty.  The most commonly used types of anesthesia for a nasal reshaping operation are General Anesthesia and IV Sedation Anesthesia.  Some doctors prefer using Local Anesthesia.  All anesthesia forms have risks just like all surgeries have risks but risk is greatly minimized in the proper setting when short-cuts are not taken, and proper equipment and properly trained board certified anesthesiologists are used.  Here are the major differences:

    1. General Anesthesia:
      1. Usually done at hospitals or major surgery centers
      2. Rhinoplasty patient is totally asleep and feels no pain and has no major memory of rhinoplasty surgery
      3. Airway is protected with an endotracheal (breathing) tube
      4. Breathing machine breaths for patient
      5. Patient must me medically in great shape to tolerate general anesthesia


    1. IV Sedation Anesthesia:
      1. Also known as “twilight anesthesia”
      2. There is no breathing tube
      3. Rhinoplasty Patient breaths on their own
      4. Tough to control proper sedation level so patient can be “too awake” or “too asleep” which can affect the plastic surgeon’s work
      5. Patient can move and talk or act inappropriately which can all affect plastic surgeon’s work
      6. No good way of protecting the airway from blood dripping down the back of the throat onto the airway


    1. Oral Sedation Anesthesia:
      1. An Oral Sedative like Valium may be used to lightly sedate the patient
      2. Typically oral sedation is used for minor office procedures like Lip Implants


  1. Local Anesthesia:
    1. With local anesthesia the rhinoplasty patient is totally awake
    2. Numbing fluid (lidocaine) is injected into the nose to numb the nose
    3. Numbing fluid is also used with other types of anesthesia but with local anesthesia, the numbing injections are the only method for numbing and pain control
    4. Relatively safer than other forms of anesthesia but uncomfortable and impractical for most Rhinoplasties.
    5. Patients can become tired or cramped for during longer cases
    6. Difficult to numb the nasal bones