Jaw surgery before a rhinoplasty
Upper jaw surgery will alter the shape of the nose, so it's important to perform that procedure first, and then consider a rhinoplasty procedure.
The changes in the nose after the jaw surgery
Maxillary impaction alters the nose drastically and whoever does your rhinoplasty needs to take all of that in consideration. For that reason it is important for you to work with a plastic surgeon who is trained in craniofacial surgery and knows about rhinoplasty and maxillary osteotomy. Impaction would widen the nostrils, shorten the upper lip and narrow the angle between the lip and the nose.Good Luck
Thanks for sharing your concerns with us. In my practice for cases like yours i suggest to my patients to perform first the jaw surgery and then plan the rhinoplasty for a better result.Kind regards,Dr. Emmanuel Mallol
Jaw surgery and rhinoplasty
It is probably best to have the jaw surgery first to set you facial profile and see how the relationship between the different portions of the face change.
Because the jaw surgery will affect all the facial relationships, including your nose, you should plan your jaw surgery first. This will set the new "foundation" upon which your new nose will be "built".
I would recommend having the jaw surgery first. The Lefort I can cause changes to the internal structure(nasal septum) as well as cause some external changes.
Rhinoplasty and Jaw Surgery
You absolutely want to have the jaw surgery first and then the rhinoplasty. A LeFort 1 osteotomy can make changes to the nose and affect internal structures like the septum. If you have the rhinoplasty first it will likely adversely effect the result with jaw surgery later.