Facial Plastic Surgery | Chicago, IL

Anil Shah MD FACS SC

312.944.0117
CONTACT US
  • About
    • Anil R. Shah, MD
    • Dr. Sameea Chughtai
    • Reviews
    • Patient Resources
    • Directions
  • Procedures
    • Surgical
      • Blepharoplasty
      • Brow Lift
      • Buccal Fat Removal
      • Chin Augmentation
      • Dorsal Hump Removal
      • Facelift
      • Lip Augmentation
      • Lip Reduction
      • Mohs Reconstruction
      • Osteoma Removal
      • Otoplasty
      • Revision Rhinoplasty
      • Rhinoplasty
      • Ethnic Rhinoplasty
      • Septoplasty
    • Non Surgical
      • Acne Scars
      • Botox
      • CO2 Laser
      • CoolTone
      • Brownspots Skin and Hyperpigmentation
      • CoolSculpting FX
      • Chemical peels
      • Facial Fillers
      • Hyperhidrosis
      • IPL Laser
      • Juvederm
      • Kybella
      • Laser Hair Removal
      • Laser Resurfacing
      • Latisse
      • Masseter Reduction
      • Non-invasive Body Contouring
      • Non-surgical Facelift
      • PiQo4 Laser
      • Restylane
      • Sculptra
      • Skin Rejuvenation
      • TMJ disorders
      • Under Eye Filler
      • Voluma
      • Volbella
    • Skin Care
      • Acqua Facciale
      • Aesthetic Skin
      • Skin Care
  • Photos
    • Rhinoplasty Photos
    • Aging Face Photos
    • Facial Reconstruction Photos
    • Botox Fillers Photos
    • Facial Implants Photos
    • Acne Scars Photos
  • Testimonials
Blog » Rhinoplasty » Does Dr. Shah use topical Cocaine as an anesthetic in rhinoplasty?

Does Dr. Shah use topical Cocaine as an anesthetic in rhinoplasty?

11/28/2013 by Anil R. Shah, MD

Does Dr. Shah use topical Cocaine as an anesthetic in rhinoplasty?

Cocaine is one of the traditional agents used in rhinoplasty and septoplasty to both anesthetize the nose and cause vasocontriction*. The main issue with the use of cocaine is the potential for cardiac arrhythmia*. So do the pros of its use outweigh the cons?

Dr. Shah does not use cocaine as a topical anesthetic in septorhinoplasty. There are several reasons behind this. First, although studies have shown that cocaine is safe in the nose, there is still a small chance of cardiac arrhythmia. In addition, a recent study in the European Archives of Otorhinolaryngology from Queens Hospital found no benefit in the use of cocaine versus epinephrine. Modern inhalational gas anesthetic agents also cause less vasodilation than agents in the past. This makes a topical agent like cocaine unnecessary.

So what does Dr. Shah uses instead of topical cocaine?

Dr. Shah uses liodcaine with epinephrine in combination with Afrin nasal spray for vasoconstriction in rhinoplasty in concert with modern inhalation gas agents. This combination works well for both short and long nasal cases.

*Vasoconstriction – Narrowing of blood vessels. When blood vessels constrict, blood flood is slowed or blocked.

*Arrhythmia – An irregular heartbeat.

Filed Under: Blog, Rhinoplasty, Septoplasty

  • Request a Consultation
  • By submitting this form I agree to the Terms of Use
  • This field is for validation purposes and should be left unchanged.

Location

845 North Michigan Ave #934E
Chicago, IL 60611
312.944.0117

Directions

Resources

  • Specials
  • Virtual Consultations
  • Out of Town Patients
  • Forms
  • Facial Plastic Surgery Timeline
  • Pre/Post Op Instructions
  • Ethnic Facial Plastic Surgery

Quick Links

  • Video Gallery
  • Plasticpedia
  • Nasal Breathing Quiz
  • Articles
  • Media
  • Careers
  • Blog

Other Links

  • Facebook
  • Twitter
  • YouTube
  • Pinterest
  • Instagram
  • Privacy Policy
  • Terms of Use
4.6 stars from 141 reviews
© Copyright 2021 | Anil Shah MD FACS | Sitemap | Plastic Surgery SEO by Surgeons Advisor.