In most cases, a nose job is done under general anesthesia.
It can be done under local anesthesia; the decision depends on the extent of the treatment along with the preference of the patient and the advice of your surgeon. With local anesthesia, the nose will be numbed with an injection and you will not feel any pain during the treatment. However, the nose plastic surgery can be more noticeable and may be annoying.
With general anesthesia, you will sleep through the rhinoplasty surgery. The patient is usually requested not to drink, eat or smoke for about six hours before general anesthesia and may need to remain overnight in hospital.
Procedure of a nose job (rhinoplasty)
A nose job usually takes one or two hours, more complicated treatments can take longer.
By classic process of the rhinoplasty surgery a nasal skin is loosened, cartilages of the bridge and wings are partially removed and eventually reshaped, nasal hump is removed and bony part of the nose is narrowed, if it is the situation. The surgeon is able to refill part of the tissue so the shape and desired esthetic result would be perfect. Refilling is performed mainly with own body tissue, best suitable are those that have similar structure and color of the own nasal tissue. For replacement of the cartilaginous part is used cartilage from nasal septum or ear and exceptionally cartilage from rib connection. Skin around nose is very tolerant and strategically lead incisions contribute to a perfect result.
Nose is fixed in its final shape with plaster. A tamponade is put into nostrils that stops bleeding. A patient with tamponade can breathe only with mouth.