Rhinoplasty under local anesthesia: features of the procedure



Rhinoplasty is one of the most serious plastic operations on the face. Before it, the patient is consulted with a plastic surgeon, during which all the details of the future correction and surgical intervention are discussed.

During the consultation, the doctor should pay special attention to the fears associated with anesthesia. Recently, in many clinics in Moscow, Samara, Yekaterinburg, clients have sedation, during which the patient has all the reflexes of the upper respiratory tract during the operation, he can breathe and even respond to the doctor's instructions. However, this method of anesthesia appeared not so long ago, so it is used less frequently. There are clinics where rhinoplasty is performed under local anesthesia.

However, this may indicate the following:

• There is no modern anesthetic equipment that allows you to monitor the patient's condition during surgery.
• There is no experienced anesthesiologist-resuscitator who can do professional and safe anesthesia.

Local anesthesia is anesthesia for a small part of the body where surgery is performed. At the same time, the patient does not feel pain, but is conscious, sees and hears everything.

Such anesthesia can greatly affect the patient's psyche, as it is not easy to transfer the sounds of the instruments and see the skin removed from the nasal cartilage. Therefore, it is best to apply general anesthesia.

In clinics that are licensed for plastic surgery, there is always an anesthesia room and a full-time anesthesiologist.



Rhinoplasty under local anesthesia: drugs used

Local anesthesia is a common anesthesia that has been used in medicine for many years. It can be unique or combined with other types of anesthesia. The anesthesiologist removes the area with anesthetics, which quickly penetrate into the tissues and anatomical structures of the nasal cavity.

When rhinoplasty is performed under local anesthesia, pain medication is injected with long and thin needles: marcaine, lidocaine or xylocaine. Further, the patient has a feeling of tissue growth and temperature increase in the nasal cavity. These sensations disappear after a while and by the beginning of the operation, the person simply does not feel part of the face. Some patients may feel that something is being done in their nasal cavity, but there will be no pain from these actions.

Local anesthesia for rhinoplasty has some disadvantages:

• The patient remains conscious and sees everything that the doctor is doing. This can lead to a violation of the mental state of a person. In addition, it is necessary to constantly monitor his position.
• The quality of the procedure will be worse, and the time of the operation is increased significantly.

Many specialists of plastic surgery do not recommend the use of local anesthesia for the correction and correction of nasal defects. However, general anesthesia should be used with caution, as it causes certain complications after surgery.

Most commonly, anesthetics are used for local anesthesia:

1. Esters, which include drugs such as Tetrakain, Dikain, Chlorprocaine).
2. Amides, such as Etidocaine, Lidocaine, Bupivacaine and others.

Novocaine is already being tried not to use, as it does not act as effectively as modern anesthetics. Lidocaine is considered toxic, but also potent. In addition, almost no one is allergic to this drug.

Bupivacaine and Naropin are the most effective drugs that last the longest.

The tip of the nose is a combination of subcutaneous tissue and soft cartilage covered in skin. The tip of the nose moves perfectly in different directions, depending on the length and strength of cartilage. All people have different nose shapes and tips, too, so some resort to rhinoplasty to improve the aesthetics of the face.

Plastic nose tip is carried out exclusively on cartilage and allows you to:

• make it less round;
• lift the nose;
• straighten bends;
• narrow the wide nostrils.

Surgical intervention may be performed under local anesthesia. In this case, the doctor changes the shape of the lateral cartilage and septum. However, in practice it is rarely possible to hold only the plastic of the nose tip , since a change in one cartilage leads to a change in the structure of the whole organ, which requires correction and the creation of a beautiful and regular shape.

Is rhinoplasty possible without anesthesia?

There is such a thing as non-surgical rhinoplasty - a procedure in plastic surgery, in which good results can be achieved without surgical intervention. This is a temporary correction of the shape of the nose, which allows you to make the nose smooth, remove the tubercles and cavities. In this procedure, fillers are used as implants.

Non-surgical rhinoplasty is performed without anesthesia. As a painkiller, a special anesthetic cream is applied to the nose and cheeks. It is kept for 15 minutes, after which you can enter the filler. After the procedure, the patient is allowed to go home.

Rhinoplasty is a complex procedure for removing defects of the nose and creating its aesthetic form. However, this procedure should be approached very responsibly, choosing the right anesthesia as well as the clinic. Remember, with proper preparation for surgery, you can reduce the risk of complications several times.