Can a rhinoplasty and a bullhorn lip lift be done simultaneously? If not, which procedure should be done first for best results?

Your questions and concerns with regards to lip lift and rhinoplasty are excellent.  I concur in that doing the procedure simultaneously would likely lead to prolonged healing and potential complications from too much surgical manipulation of the base of your nose with potential for compromised blood supply and loss of tissue.  I would suggest starting with your rhinoplasty for a few reasons.  One of them is that your lip may change slightly following your rhinoplasty and if you decided to undertake the lip lift at a later date, you may have to elevate the lip more or less depending upon the surgical result of your rhinoplasty.  The other reason is to decrease the variables of healing and surgical manipulation of a delicate and somewhat unforgiving area of your face.  

Hi, Great question!This is where skill and experience come into play in planning and successful execution of both procedures done simultaneously. I've never had a problem with combining these two procedures. Typically, the rhinoplasty is executed before the lip lift to ensure proper spacing and tension between base of nose and top of lift. I hope this helps.Best wishes and kind regards,Gary Horndeski M.D.

These are two very distinct procedures done for different reasons. Your particular needs and anatomy would be very important in determining if your proposed double procedure is appropriate or not. If you require an open rhinoplasty doing the lip lift might endanger the blood supply to the skin on the columella part of the noose. An intranasal rhinoplasty would not affect the skin as much, if at all. Only an in-person consultation is likely to give you the answer you are seeking.