Facelift Before, During or After Rhinoplasty?

During - no not in my opinion

Take two of the most important and complex procedures and combine them on the same day and you are deviding the surgeons attention between two very intense procedures.  I am not saying that I would not and will not ever do them on the same patient the same day its just a lot goes into those procedures and for most situations.  I also don't fault anyone who does do the rhinoplasty and facelifts on patients on the same patient the same day.  Clearly it works for them or they wouldnt do it.  But for me I am passionate about these two procedures and want every detail to count. I want every aspect of the surgery to be controlled and precise.  I prefer to separate these procedures  for that reason.

 

I would say facelift then 2-3 mo later rhinoplasty.  In Austin there would be very little differene int he financial obligations. There is the drawback of two recoveries but the added focus it allows me in myexperience to provide my patients is worth it.  Again I not disparage any one who does the together - I am just providing my perspective and philosophy.

Great question. It’s possible to combine both procedures at the same time, but would require a qualified Facial Plastic Surgeon’s evaluation to review your individual facial anatomy and truly understand what changes you desire. Also, a frank conversation with your surgeon about recovery and downtime to determine if you want to do either Rhinoplasty or a facelift first would be wise.

Combining a facelift and rhinoplasty is feasible and something I have performed in the past multiple times.  However, it is possible to separate these procedures and it truly does not matter which one comes first.  I would recommend you address the aspect of your face that bothers you most (nose or jowls/neck) first.  Either way, these are both procedures that will provide you with great satisfaction and enjoyment.  I have attached a video of a patient whom I performed both a facelift and rhinoplasty at the same time.  

I do these surgeries together since the nose adds only an hour and the patient has only one recovery.  I also do multiple procedures at a reduced cost. 

Thank you for your question.

As long as your surgeon is skilled at both rhinoplasty and facelift, it is possible to have these surgeries at the same time. If you separate them, it doesn't matter which you do first or second.

To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.  I hope this helps.

Many factors need to be considered when having multiple procedures on your face. The most important question that you need to consider is whether your surgeon will be able to give you the best result possible for both the facelift and for the rhinoplasty. 


If your budget permits, it would probably be best to have both the facelift and your nasal surgery performed at the same time. This would allow you to combine the downtime associated with healing and also reduce the overall cost compared to having the procedures done individually. 

Hello,

Combining a facelift with a rhinoplasty depends on the details of each surgery reflecting the degree of changes anticipated.

Usually, patients tend to combine both surgeries aiming for one recovery process and saving money as well.

Therefore, without a physical evaluation it is hard to advise you to segment or combine your surgeries. Also, it is important to know your medical history in details as surprises tend to increase the risks during a surgery - something neither the surgeon nor the patient would like to happen.

That being said, please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of additional corrective surgeries dramatically.


I hope this helps and please feel free to check the website below.

Thank you for your inquiry.
The best of luck to you.



Dr. Sajjadian

There are arguments to be made on both sides of that discussion either combining or separating a facelift and rhinoplasty. In reality, it is not necessary to look at the 'new' face afterward to figure out how to change the nose via rhinoplasty surgery. Therefore, I have found it best to combine the procedures for the benefits of one single surgery and recovery and less costs. Combining the two does result is some increase in facial swelling after surgery but that will go away quickly after surgery and is not enough of a negative to separate a rhinoplasty from a facelift.

The facelift procedure and the rhinoplasty procedure can certainly be done simultaneously.  However, if you go that route your surgeon must take into account your overall health.  The two procedures combined could take 5-7 hours under general anesthesia, so please consider that.  The advantages of doing both at the same time are:


less anesthesia cost

overlap the "downtime" of each procedure

Less total visits to the doctor after the surgery


If you were to do them individually, you could go either way.  It is true that having your facelift first will allow the surgeon to assess overall facial harmony, but this is not typically changed to any great extent following a facelift.  It would be more important if you were getting a chin implant or cheek implants, for example.  

A rhinoplasty and a facelift can be done at the same time in some individuals. It really depends upon how long the surgeries are expected to be.  If concerned, it can be staged.