When performing a “nose job,” or Rhinoplasty surgery, Dr. Smith and his team will recommend anesthesia options including local anesthesia, IV sedation or general anesthesia, depending on the patient’s choice. During your rhinoplasty surgery, almost all of the work is performed on you by Dr. Smith will be from inside the nose. The benefit of this is that it leaves virtually no visible scars or only a very small scar on the columella (the small area between the two nostril holes). This scar will become essentially invisible once it has healed.