Septoplasty & rhinoplasty under local anesthesia. is this safe?

Nose anesthesia: In experienced hands, septoplasty and rhinoplasty can be safely performed under local anesthesia. It is important to make sure that this is being performed in a certified surgery center and that an anesthesiologist is available should intubation be required.

It can be: However, there are many factors that can play into this including your high blood pressure. Many issues will impact this decision that will depend upon the complexity of the procedure as well as the comfort level of your surgeon as well as the presence of an anesthesiologist.

Yes: However, the surgeon will usually provide a sedative to make the procedure more pleasant.

Not recommended: I would not recommend septal surgery and rhinoplasty under straight local anesthesia!

You could but why?: I see from your history you have anxiety. Are you really going to want to sit there with someone making incisions, resecting cartilage, making delicate and time consuming changes to the shape of your nose, suctioning blood all while you cannot touch your face or risk infecting your wound? Most surgeons do it under general. It's your surgeon and your call, but most patients would say "no".

Rhinoplasty: these procedures are performed typically under general anesthesia. Discuss these issues with your surgeon and be sure your surgeon is a board certified facial plastic surgeon with expertise in these procedures.

Yes, but: Yes, but procedure much more tolerable with IV sedation.