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Rhinoplasty, Eyelid Surgery, and Fat Grafting at Once?

asked 3 years ago by cuscatleca in Los Angeles
Latest answer by Michael R. Macdonald, MD
Question viewed 1,117 times
Tags: eyelids, nose

I'm thinking of having Rhinoplasty to make my nose tip smaller. I'm also considering having my upper and lower eyelid surgery, the upper ones because my left eyelid is droopy and the bottom because I look tired. I heard about multi level fat grafting. Is it safe to do all these surgeries at once?

15 answers to Rhinoplasty, Eyelid Surgery, and Fat Grafting at Once?

It is certainly safe and common to have rhinoplasty and eyelid surgery performed at the same time

It is certainly safe and common to have rhinoplasty and eyelid surgery performed at the same time. In this way, the costs are often reduced, and there is only one recovery period. As a result, many patients choose to perform these surgeries at the same time. Fat grafting may also be performed at the same time. However, intra-operative changes, edema, and swelling, and post-operative changes during healing may affect this portion of the treatment. My preference would be to perform fat... more

Michael R. Macdonald, MD
Bay Area Facial Plastic Surgeon

www.drmmacdonald.com

These surgeries can be done at the same time

It is very safe and acceptable to perform all of these surgeries at the same time. Just remember that because of the three surgeries that you will be quite swollen above and below the eyes into the cheek areas for several weeks after all three procedures. Fat can also be used from the eyelids for grafting purposes.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Multiple procedures safe, but there will be more recovery for you

Rhinoplasty would be something that I would do first on the same day and follow up that with fat grafting. They can be done concurrently as long as you are ready for the extra recovery with all of those procedures. They are in different areas and will have a less of an effect on each other. Brow Lifting is another option to rejuvenate your eyes. But all you may need is fat grafting to subtly lift your eyes in a natural way and to rejuvenate both your upper and lower eyelids for the most... more

Philip Young, MD
Bellevue Facial Plastic Surgeon

Yes.

Multiple procedures are done at the same time. You might be wise to have an evaluation of your brows BEFORE getting your eyelids done to kill 2 birds with one stone.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Combining procedures

Combining procedures is not uncommon and usually very safe as long as the surgical times does not increase significantly. All three that you recommended can be commonly done together.

Steven Wallach, MD
Manhattan Plastic Surgeon

No problem: Rhinoplasty, eyelid surgery, and fat grafting

You should have no problem having all those procedures at the same time. Synchronous surgery will decrease your total down time and may decrease the total cost. These procedures don't interfere with each other, and all should go well.

G. Gregory Gallico III, MD
Boston Plastic Surgeon

You can combine several facial plastic procedures.

Addressing several cosmetic concerns is common, For instance, in someone seeking consultation for rhinoplasty, they might benefit most from rhinoplasty along with a chin-implant, and neck liposuction for the most attractive look. I personally do not perform lower lid surgery and fat grafting. I hope this helps, and best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Multiple surgeries should be OK

I agree with the other experts on this issue. In general, one should avoid having more than about 6-8 hours or more of cosmetic surgery procedures. You might have more swelling and bruising of the face because of the multiple procedures in this area, but the benefit will be having only one recovery period. The procedures done together should take less than 6 hours. As such, it should be okay. Make sure your doctor does a thorough medical evaluation in order to evaluate potential important... more

John Diaz, MD
Beverly Hills Plastic Surgeon

Rhinoplasty, fat grafting and blepharoplasty at once

There is not a problem combining the procedures you are looking at doing into one session. In fact there is the benefit of only having one recovery period. There is not really a down side except that you will have a little more swelling because of the length of the procedure, but that will subside within 2-3 weeks.

Edward Buckingham, MD
Austin Facial Plastic Surgeon

Multiple surgeries

In general, the combination of surgeries you mentioned are probably safe to do but you should definitely listen to your surgeon with regard to your specific procedures. A tip rhinoplasty and upper and lower belpharoplasties are anatomically separate and shold impact each other appreciably. You do not mention what multilevel fat grafting you are referring to soit is hard to comment.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Combination of Facial Procedure are Common

It is relatively common for us to combine various facial plastic procedures and perform them in one setting. The advantage is that you will have one recovery (although this may be a little longer than if surgeries would be done separately). On the other hand, this extra recovery (about 2 weeks total) maybe more than you have available...

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon

www.drfechner.com

Generally no more than 6 hours of cosmetic surgery at a time

Dear Cuscatleca It is highly tempting to get a number of procedures done at one time. The main arguments center on the reality that the first hour of surgery is usually the most expensive. However, these costs are generally small compared to the cost of down time healing from surgery. Multiple surgeries tend to add only incrementally to recovery time, ie it does not take much longer to recover from all three surgeries than it would to recover from just one of them. Safety wise, most... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Rhinoplasty,blepharoplasty and fat graftng done at oneone time

It is safe,but remember that each of these proceedures can cause significant periorbital bruising and swelling as individual proceedures so these effects can be more pronounced when done athe same time.. In my experience the eventual results are fine and patients are happy to have done it in one sitting.

Barry H. Dolich, MD
Bronx Plastic Surgeon

Combos like this can be just fine.

Combining eyelid surgery with nasal surgery can create quite a bit of swelling and bruising around the eyes. This isn't a reason not to do them together, but patients should be prepared to expect that side-effect. BTW, since you mention that the left eyelid is droopy compared to the right, you might want to make sure that you're not suffering from eyelid ptosis rather than just dermatochalasis (aging eyelids). The diagnosis and treatment of ptosis is different from that of simply the aging... more

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

Combined surgery of the nose and eyes.

You can have the procedures performed at once but you may expect more bruising and prolonged swelling. Having your rhinoplasty alone can cause peri-orbital ecchymoses and swelling (eyellid bruising and swelling). I am not sure what you mean by multilevel fat grafting in reference to the droopy eyelid. I think you meant in reference to the lower eyelid. As long as this is performed in a conservative fashion, the fat grafting can be a nice adjunct