“Which anesthesia is used during rhinoplasty?”

There are many approaches one can take, and some surgeons will perform Rhinoplasty in their office with sedation, but what I am most familiar with is the patient undergoing General Anesthesia in an Ambulatory Surgery Center with the surgeon also utilizing local anesthesia (lidocaine with epinephrine to reduce bleeding). I only do these procedures with the patient intubated (a breathing tube in place) and though one might utilize an LMA (laryngeal mask airway, an airway device that does not go below the vocals cords), I do not. The general anesthetic can be provided with a total intravenous approach, which I do not typically do, or an inhaled anesthetic approach. In both cases you will receive oxygen via an airway device but in the total intravenous approach, no inhaled anesthetic is typically used. =20

Hope this helps. Your anesthesiologist should be able to answer your questions after they review your medical record and examine you.

B Robles