I have several questions about your service. Can I choose whether to have local or general anesthesia for a nose job? What determines whether it will be a closed or open rhinoplasty? How do you determine which is used?
You can choose your surgeon and your surgery but once you have chosen your surgeon it’s important to trust his professional opinion and advice as long as you have chosen the “right” surgeon. Rhinoplasty can be done under local, twilight sedation, MAC or general anesthesia. I prefer general due to its protection of the airway during Rhinoplasty. While the other options are OK for lets say an eyelid lift or facelift, general endotracheal protects your airway from blood that may be dripping down the back of the nose and throat. While there are always risks with every surgery and every type of anesthesia, I minimize these risks significantly by operating at hospitals with Board Certified Anesthesiologists rather than operating in my office or small surgery center like many plastic surgeons do. That is not safe and it cuts corners. I also perform every type of Rhinoplasty, every ethnicity and every age group and sex. I also use Open Rhinoplasty and Closed Rhinoplasty techniques frequently. I prefer Open Rhinoplasty for major tip work and I prefer Closed Rhinoplasty when concentrating on the bridge or minor tip work. I use computer imaging to show you how each version would possibly look and my patients choose which computer imaging version and based on that I plan Open Rhinoplasty or Closed Rhinoplasty.