I prefer to perform most of my rhinoplasty nasal sculpture under Light General Anesthesia. The patient is asleep with a tube protecting the airway. However, I use local anesthesia in addition such that my anesthestist does not need to keep the patient so deeply under general anesthesia. This can improve comfort after surgery and minimize nausea / vomiting during recovery.
Caution these next two links are Graphic
In addition the
nasal sculpture with sharp chisel can be emotionally disturbing to the patient. On this link you can hear the sounds of bone sculpture.
Here you can see the sculpture using fine rasps. These are additional reasons why I prefer General Anesthesia.
Nasal trauma can result in deformity of the nose both internal and external. When both deformities are present they are best corrected at the same time. This is called septorhinoplasty nasal sculpture.
I prefer to individualize the nasal sculpture for each of my patients and not make each patient's nose look the same as other patients. Picking your surgeon can be important. Learning the various issues about nasal deformity and nasal surgery can take some time.
Start here and go through this series of pages to explore the various issues important about rhinoplasty nasal sculpture. Follow the grey arrows for an organized .educational experience
Hope this helps,
Michael Bermant, MD
Learn More About Rhinoplasty, Septoplasty, and Sculpture