Background and objectives: We present our experience using the technique of tumescent local anaesthetic infiltration for nasal cosmetic surgery including osteotomies and functional surgery in the septum.

Materials and methods: We present the technique of tumescent local anaesthetic infiltration step by step, as well as the surgical technique in a serie of 20 cases of cosmetic septorhinoplasty between November 1, 2012 until March 31, 2013. In all cases were performed septoplasty and osteotomies.

Discussion: We try to show the adventages of this new technique in our private practice, reducing costs and offering another option to the patient. Every case was successfully performed, without pain or discomfort. Surgical time varied between 45 min and an hour and 35 min.

Conclusions: Rhinoplasty performing local tumescent anaesthesia is a perfectly valid option in cases of purely cosmetic surgery of the nose and to correct septal cartilage disorders. It is cheaper and offers the same results than the traditional method.