Thoughts on deep plane facelift first then 10 days later rhinoplasty?

Question

Hello My PS has recommended I do my extended deep plane neck and face lift with upper blepharosplasty lip lift with corner lift in one operation and 10 days later go in and do my revision rhinoplasty with forehead and brow lift he advised that to do all procedures in one would mean quite some hours under anaesthetic and would prefer splitting between 2 operations. My question is would the second operation effect the results ofthe 1st and is 10 days enough between the 2 ? Thank You for your time

Ronald J. Edelson, MD · Answer

It’s a perfectly good plan. You don’t want your surgeon doing more at one time than they are comfortable with  and at 10 days you really shouldn’t have much swelling and bruising. Every surgeon does  things differently.  Your surgeons plan is reasonable

Lucian Ion, FRCS · Answer

Thank you for your question.

I think your plastic surgeon has advised you well because multiple procedures that lead to long anaesthetic time increase the risk unnecessarily.

Having the second intervention later on is definitely a benefit. There is always discussion about how long should be the interval between procedures, and you may find that you need more than 10 days to feel comfortable having the second intervention.

This does depend on the amount of swelling that happens following the deep plane facelift and neck lift. The procedure fluctuates in the amount of bleeding and swelling based on individual blood pressure and other personal characteristics.

If your time off is relatively limited, it could work, but otherwise it is more common to allow a longer interval between treatments.

Erman Ak, MD · Answer

In my practice, I usually allow at least 2 months between two surgeries unless it is urgent and I say that this will be healthier for the patient.
Best Erman Ak MD

Stephen Prendiville, MD · Answer

If your Surgeon feels that the operative time will be excessive, it's completely appropriate to split up the surgical dates.  Although I would prefer at least two weeks between anesthetic events, 10 days isn't out of the question for a healthy, active patient. I prefer to do revision rhinoplasty by itself and not along with other facial rejuvenation procedures.  As long as you follow instructions, eat a healthy diet, and maintain a positive attitude, the 1st procedure and 2nd procedure should not  affect each other.

Jacob Tower, MD · Answer

Hello, hope you are well. I think you can give your surgeon the benefit of the doubt and trust their experience and way of doing things. Having said that, if they are concerned about having enough time in one day under general anesthesia, the upper blepharoplasty and lip lift could also be done under local anesthesia at a later time. If the surgeries really need to be broken up, a deep plane facelift, revision rhinoplasty, and forehead/brow lift could be done in the first stage under general anesthesia, followed by lip lift and upper bleph under local anesthesia at a later date. Usually an upper blepharoplasty is done after a brow lift because the amount of skin that would be excised will likely change. Hope this helps.
Best,Dr. Tower

Matthew Bridges, MD, FACS · Answer

This is a very unusual plan.  First, it's odd not to do browlift with upper blepharoplasty, since the amount of browlift achieved will affect how much skin can be safely removed from the upper lids. Also, you still still be bruised and swollen at 10 days, so going back under anesthesia at that point is probably not wise.

Thoughts on deep plane facelift first then 10 days later rhinoplasty?

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