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In the majority of cases, I perform rhinoplasty under general anesthesia. All of my surgeries take place at major hospitals that are staffed with anesthesiologists who are fully equipped to respond to a broad range of medical issues. Being under general anesthesia allows the patient to be very comfortable during the procedure and provides outstanding protection of the airway and breathing – a very safe approach. Having said that, if the patient prefers, or if there is some medical indication, rhinoplasty surgery can also be performed under IV sedation, rather than general anesthesia.


After general anesthesia is initiated, local anesthesia is injected into the nose to further improve the comfort of the procedure during and after the surgery. Local anesthesia with epinephrine is injected into the nose to constrict blood vessels, reduce bleeding, and numb the nasal area. Three areas are targeted: the angular vessels, lateral facial vessels and infraorbital vessels. The nose is cleaned with betadine (an anti-septic solution) to reduce the chance of infection.

Please take a look at our pages on the rhinoplasty surgery, consultation, and pre-operative visit for more information on the overall treatment process.

Anesthesia Rhinoplasty Pittsburgh

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If you are interested in learning more about this procedure, or if you would like to schedule a rhinoplasty consultation with our board-certified plastic surgeon, please contact Dr. Paul Leong today.

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Practice Policy Update Regarding COVID-19

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Important message to all of our patients

Dr. Leong and his team are happy to announce, we are open and seeing patients for all surgical and non-surgical consults. The summer surgery schedule is rapidly filling up. Please call or contact us today to schedule your consultation.

We are following all state and federal guidelines for your protection and safety, including but not limited to: wearing gloves and masks, providing hand sanitizer, frequent cleaning, wiping down and sanitizing of all contact surfaces. As well as will maintain all standard Social Distancing protocols. Patients should not come in if achy, feverish or coughing or COVID positive test for active infection.

We are still utilizing virtual consultations, including to obtain initial information about treatment plans for new and returning patients. Our goal is to find the best balance between being available to our patients and maximizing their safety.

Please call our office or select the “Video Consultations Tab” to schedule a video discussion.

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