Cosmetic nose surgery or rhinoplasty is a tricky business, and one cannot 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, anesthesia becomes a significant factor in the successful execution of the surgery. Let us know more about it.

Anesthesia For Rhinoplasty - Cosmetic Nose Surgery 1

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 rhinoplasty done needs to know. The more you know about your surgery, the more confident and calm during the process.

Anesthesia for rhinoplasty generally is composed of intravenous propofol, which the anesthesiologist injects. Along with this, local anesthesia is injected in and around the patient’s nose by the surgeon. The scientific term used for the intravenous use of propofol for anesthesia 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 that 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 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 anesthesiologist 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 computerized pump to aid the surgery in the best way possible. The surgery involves constant monitoring of the respiratory, heart, and cognitive function. At the very beginning of the surgery, medication is given to avoid the discomfort due to local anesthesia injections.

Local anesthesia 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. The propofol dose is reduced to the minimum requirement once the nose is numb due to the local anesthesia. The sleep of the patient guides this requirement. This helps in the patient’s normal breathing, and they even get to relax during the operation completely and can feel no pain at all.


A successful rhinoplasty demands teamwork from the anesthesiologist and the surgeon to properly work TIVA and local anesthesia. Add Crazy.

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