Sedation & Rhinoplasty

For nose re-shaping/ rhinoplasty, we offer two types of anaesthesia: local anaesthesia with sedation or general anaesthesia. It is not advisable for patients to undergo a rhinoplasty with merely local anaesthesia as this area of the face is too sensitive. In choosing between general anaesthesia and local anaesthesia with sedation, also referred to as “twilight anaesthesia,” the patient’s individual case, health, and preferences must be taken into consideration. Dr. De Silva is committed to making patients feel as comfortable as possible throughout the entire process, and will be able to give a recommendation as to which method may be right for you.

Watch Video: Patient Review: West London Rhinoplasty and Sedation with Dr. Julian De Silva
Rhinoplasty & Sedation Experience

With general anaesthesia, the patient’s entire body is put under anaesthesia and made unconscious. An anaesthesiologist administers general anaesthesia and will also monitor the patient throughout the procedure for safety. As the body’s functions are subdued during this process, a breathing tube is used to monitor and aid normal breathing functions. Though general anaesthesia is now very safe, there are still risks involved that necessitate a medical assessment to ensure that a patient is a good candidate. General anaesthesia appeals to patients who are squeamish or nervous about the procedure and would rather be entirely unconscious, but it does result in a longer recovery period. Most patients take 4-6 hours to recover from the anaesthesia and a good proportion have nausea from the general anaesthesia.

Watch Video: Comparing Rhinoplasty Under Sedation and General Anesthesia
Revision Rhinoplasty & Sedation Experience

With sedation anaesthesia, also known as twilight anaesthesia, a local anesthetic is applied to the nose and face regions, and a mixture of sedative agents will be administered. Dr. De Silva only utilises anaesthesiologists that specialise in sedation and are highly skilled in giving sedation medications tailored to the individual. This sedative will cause patients to feel very sleepy and relaxed, or possibly even euphoric, but patients will remain conscious and able to answer questions. Patients often do not remember the procedure itself or a short period after. This method of anesthesiology is highly preferable to patients who do not want to take the risks of general anaesthesia, as the recovery period of twilight anaesthesia is much shorter and can be a safer alternative. Dr. De Silva has taken the use of sedative anaesthesia from the United States where it is commonly provided to patients to offer them a faster recovery and more pleasant experience.

Watch Video: Rhinoplasty and Chin Implant Sedation Experience & Recovery
Sedation Experience & Recovery from Rhinoplasty with Dr. Julian De Silva

Before, during, and after the procedure, our specialized anaesthesiology team will ensure patient safety and comfort. We provide full instructions for each patient such as designating a responsible driver, food intake, and other necessary information. If you would like to learn more about your sedation options during rhinoplasty, please contact us for a consultation. We are located in West London and we will be happy to answer any questions you may have!

Watch Video: Closed Rhinoplasty Video Diary - 2 Hours After Surgery, 1 of 10
Closed Rhinoplasty Video Diary -2 Hours After Surgery, 1 of 10

The patient’s story below is of a patient who underwent rhinoplasty under general anaesthesia with a general plastic surgeon who was left with an unsatisfactory result. Dr. De Silva completed revision rhinoplasty under sedation anaesthesia for her:

Sedation wassimple a 'pleasant' and easy experience.

Woman's face, before and after Sedation & Rhinoplasty, front view

*Results May Vary

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Covid-19 Update

Through the new phase of restrictions in the United Kingdom, The Centre London will remain open for patients. We are proud to offer our services in a CQC registered clinical environment, with strict COVID hygiene and safety protocols. Our Team will contact you should your appointment need to be changed, otherwise, we look forward to seeing you at 23 Harley Street.