Does twilight sedation refer to local anesthesia? If so, then that's what I had for my primary rhino.....open procedure, augmentation with silicone plus tiplasty (with ear cartilage). No osteotomy (bone breakage) or alarplasty involved (though I kind of regret not getting alarplasty now....but that's a story for another time). Right before the operation the nurse gave me a couple of pills to take then injected my veins with demerol and then there were a couple of injections to my nose to numb that area. I was awake throughout the entire operation....and felt little to no pain whatsoever (I did feel slight discomfort only when my surgeon was testing out the diff't mm of silicone implants before deciding on one that looked best on me....I could feel the silicone implant being pushed up my nose). My surgeon prefers local anesthesia and prefers the patient to be awake and communicative with him throughout the operation (it was kind of funny b/c of all the random topics we talked about during the op we touched upon Kim Jong-Il LOL, and that was while listening to Kpop music playing in the surgery room). Personally I prefer local anesthesia as well. General anesthesia has greater risks associated with it but if you're getting osteotomy or partial osteotomy then general anesthesia would be a must.
Hi, Foxycleopatra! Thank you soo much for your reply!
First of all, I just want to say that I think you are very brave to have had an open procedure, under local anasthetic! & congratulation!
I plan on having a closed procedure. Bone will be removed, perhaps from the sides & the arch of my nose. My main problem being the tip.
I've never had an operation & the only type of anasthetic I've ever had to have was a little locally at the dentist.
The thought of being put under general anasthetic terrifies me! The thought of having no control over myself, the thought of being put under an anatural sleep, not to mention the thought of no return.
Atleast, if I could be put under a local anasthetic & anything went wrong, I would be awake, or atleast concious to wake.
From what I have researched so far (twilight vs general) the risks have been mentioned as equal. However, I personally feel twilight IS a safer option, despite what I have read so far. With twilight, you are much less heavily drugged as if you were put under general.
I fear my body could not take it. I espeially worry because I'm a fragile little thing recovering from anorexia & I do have bad anxiety
I don't plan on having the procedure until I have ''fully recovered''. I am going to have to have this procedure done sooner or later & I want to be at my healthiest & fittest as all people should when daring to go under the knife.
BTW, I know Dr. Hsu in Taiwan is very famous and have good word of mouth in forums.