I am considering Rhinoplasty and I've been hearing about different techniques being done; some with no bruising and partial anesthesia. What is the best and safest method?
Apr 3, 2013
It really depends on what is being done and how long it will take. Both sedation (partial anesthesia) and general anesthesia, patients are monitored carefully. Patients seem to worry a lot about general anesthesia. However, it is probably safer than sedation for longer cases. Controlling the airway is performed during general anesthesia where patients undergoing sedation may fluctuate from breathing well to being oversedated.
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Even though it can be done under Sedation as Dr Esso mentioned, I would recommend General Anesthesia (GA) for Rhinoplasty. You can have significant bleeding into the airway during the procedure, and it would be much safer (and easier) to control the bleeding and suction it under GA when the airway is protected.
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Dear Ms.,
Thank you for your trust and questions,
I will give you an overview of the operation,
It is done under general anesthesia in a hospital setup
I utilize the open technique which gives better exposure and results.
There is the old closed technique which limits what can be done.
Computer imaging is available.
Recovery is 90% within 6 days, on your follow-up for sutures & cast removal.
You can go public 3 days post surgery or travel 6 days post surgery.
You don't stay in hospital, you can leave same day of surgery.
There is nothing for you to prepare except to avoid taking Aspirin or
Aspirin containing drugs 2 weeks before surgery date.
Hope I answered you well.
Paul Yazbek, M.D.
American Academy of Facial
Plastic & Reconstructive Surgery
European Academy of Facial Plastic Surgery.
Otorhinolaryngology
Thank you for your trust and questions,
I will give you an overview of the operation,
It is done under general anesthesia in a hospital setup
I utilize the open technique which gives better exposure and results.
There is the old closed technique which limits what can be done.
Computer imaging is available.
Recovery is 90% within 6 days, on your follow-up for sutures & cast removal.
You can go public 3 days post surgery or travel 6 days post surgery.
You don't stay in hospital, you can leave same day of surgery.
There is nothing for you to prepare except to avoid taking Aspirin or
Aspirin containing drugs 2 weeks before surgery date.
Hope I answered you well.
Paul Yazbek, M.D.
American Academy of Facial
Plastic & Reconstructive Surgery
European Academy of Facial Plastic Surgery.
Otorhinolaryngology
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There are different strokes for different folks!
Rhinoplasty is an art, and the surgeon mastering it is an artist. Regardless of the techniques used, what matters is the satisfying long lasting result. I don't see any restrictions for local anesthesia with some IV sedation, which is not annoying to the patient at all, and he/she can leave the hospital after about an hour. I recommend my patients the local anesthesia especially when the surgery is not a challenging and time consuming one, although I have done a couple of revision surgeries performed elsewhere under local anesthesia with IM sedation! Other than this, it's a patient's preference whether general or local anesthesia to be done.
I hope you can find a suitable surgeon to fulfill your expectations.
Rhinoplasty is an art, and the surgeon mastering it is an artist. Regardless of the techniques used, what matters is the satisfying long lasting result. I don't see any restrictions for local anesthesia with some IV sedation, which is not annoying to the patient at all, and he/she can leave the hospital after about an hour. I recommend my patients the local anesthesia especially when the surgery is not a challenging and time consuming one, although I have done a couple of revision surgeries performed elsewhere under local anesthesia with IM sedation! Other than this, it's a patient's preference whether general or local anesthesia to be done.
I hope you can find a suitable surgeon to fulfill your expectations.
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