I really need to get rhinoplasty. it would involve shaving the bone and all though, would they have to use general anesthesia or could they use local?

General or MAC: If bone work is involved i would not consider local. You could have general or possibly local with sedation (mac). Talk to your surgeon.

Yes and no: Modern general anesthesia is quite safe, but intravenous sedation can be used for rhinoplasty. Rarely, the surgery can be performed with local anesthesia only. However, for patient comfort, sedation or general anesthesia is usually recommended.

General is best!: Often, "local anesthesia only" is offered by "surgeons" who may not be fully-trained and qualified abps-certified plastic surgeons who "operate" in a non-accredited office since they do not have full credentials and capability to utilize all anesthesia options. Rhinoplasty often involves bony work in addition to cartilage and soft tissue manipulations, and sedation or general anesthesia is optimal.