Cosmetic nose surgery or rhinoplasty is a tricky business and one cannot not agree to this at all. It can be quite complicated if the surgeon is not well-qualified or trained to deal with this surgery. As is the case with every surgery, anaesthesia becomes a very important factor in the successful execution of the surgery. Let us know more about it.

You might not be well aware of this, but rhinoplasty can be performed without intubation. This is one piece of information that anybody who is thinking of getting a rhinoplasty done needs to know. The more you know about your surgery, the more would you be confident and calm during the whole process.

Anaesthesia for rhinoplasty generally is composed of intravenous propofol which is injected by the anaesthesiologist. Along with this, local anaesthesia is injected in and around the nose of the patient by the surgeon. The scientific term that is used for the intravenous use of propofol for the purpose of anaesthesia is called Total IntraVenous Anaesthesia or TIVA.

If you are wondering what exactly this thing called “propofol” is, then wait no more. We are here to tell you all about it. Propofol is a non-opiate based medication which has a smooth action that works almost rapidly and in a quick offset manner. The medication is gentle and safe to use. Unlike many other medications, propofol does not lead to nausea and it is found that most of the people are not allergic to this drug. It is used for short as well as long operation procedures, alike. It is all up to the surgeon and the anaesthesiologist as to how they want to use it and in what manner.

Talking about rhinoplasty, it can be done without intubation. The TIVA with propofol goes under regular adjustments with the help of a computerised pump to aid the surgery in the best way possible. The surgery involves a constant monitoring of respiratory, heart and cognitive function. At the very beginning of the surgery, medication is given so that the discomfort that arises due to local anaesthesia injections can be avoided. The local anaesthesia also comprises chemicals that would help in getting rid of the bleeding during the operation. This helps in also being free from any kind of pain post-surgery. Once the nose is numb due to the local anaesthesia, the propofol dose is reduced to the minimum requirement. This requirement is guided by the sleep of the patient. This helps in normal breathing of the patient and they even get to completely relax during the operation and can feel no pain at all.



A successful rhinoplasty demands a good team work of the anaesthesiologist and the surgeon for the proper working of TIVA and local anaesthesia Add Crazy.

If you are looking to get a rhinoplasty done, you may contact Dr. Oleh Slupchynskyj of He is internationally renowned with his double board certification. He specialises in rhinoplasty and so, you can be very sure that he is the right person to handle all the issues that you have with your rhinoplasty or any related queries.