There are 2 anesthesia options for rhinoplasty: general anesthesia and local anesthesia with intravenous sedation. The main difference between these ways, is that, in general anesthesia, patient completely loses his consciousness, but in local anesthesia, patient becomes numb and sleepy.
In the past with no recent advances in technology, surgeons not only performed the operation, but also was responsible for controlling the patient’s pain and anesthesia. In that period, the preferred method for pain control during surgery was local anesthesia with or without hypnotics.
The most disadvantage of this method is that, the patient may understand some or all of the procedures. Patients may experience a bitter memory and possibly a post-traumatic stress disorder (PTSD). For these reasons, and also due to advances in anesthetics, this technique is almost obsolete these days.
With advancement of medical science and surgical procedures, and also importance of maintaining the health of the patients, a new speciality called anesthesiology appeared, which individually cares for patient’s health and controls the patient’s pain. With the advent of anesthetics and its extraordinary rapid progress, in a short time, general anesthesia became one of the safest ways of anesthesia.
The discovery of anesthetic drugs and subsequent injections with special pumps during nasal surgery has given a very quiet, comfortable and safe way for general anesthesia. In addition, by using these new techniques, heart rate and blood pressure are controlled very steadily and uniformly during surgery, and consequently, the accuracy and elegance of surgery are maximized, and bleeding and swelling are minimized. Today, rhinoplasty surgeons prefer to carry out the operations under general anesthesia.