Can my nose be made smaller at the same time as my reconstructive procedure due to Ramsay Hunt Syndrome? (photos)

Your breathing issues sound pretty complicated. I would not combine it with a cosmetic change as well. You can ask your surgeon and there’s nothing wrong with doing it all together, but I would not.

Yes indeed, it is certainly possible to undergo functional breathing surgery, and cosmetic nasal surgery simultaneously. In our practice, this combination is very common. The functional component is billed to your medical insurance, and be prepared to pay for the cosmetic component yourself. The cosmetic component is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery, so make sure your surgeon has its extensive experience producing natural rhinoplasty results. Study their before and after cosmetic rhinoplasty photo Gallery, and make sure they're double board-certified ENT/facial plastic surgeon for best results

Hi and welcome to our forum!
That's quite a bit of surgery. Technically, it can be done at the same sitting. Each surgeon has developed their own unique protocol regarding surgical scheduling and the performance of concomitant surgeries (time constraints, your clinical status, etc.). I suggest that you contact your surgeon and ask if it is feasible in your specific situation.
Best wishes...