Augmented Rhinoplasty and Sinus Surgery at the Same Time?

This is not a good idea since there is usually infection present when one has sinus surgery. The cosmetic issues are done with your own tissues to raise the bridge and refine the tip. See an experienced rhinoplasty surgeon for this.

Combining the two surgeries is common, effective , and efficient if performed by a surgeon skilled in both fields.  I always perform the septoplasty and then sinus surgery first.  If the sinuses are very time consuming and especially if they are very acutely infected with free flowing pus everywhere probably not a good idea to add a foreign body implant to the nose at the same time. However performing a rhinoplasty without a foreign body augmentation (your cartilage is ok) and surgery for chronic sinusitis is very effective and common. I have been doing this for over 25 years and wrote one of the first book chapters on how to do this. You should have someone who is board certified in both facial plastic surgery and otolaryngology to do this. Most general plastic surgeons don't have formal training and or hospital privileges in performing endoscopic sinus surgery.