Is it better to have a nose job or jaw surgery first? (photos)
Doctor Answers 7
Nose job first or Jaw surgery?
I agree with the other physicians that generally it is better to have the jaw, or orthognathic, surgery first. This is particularly true if the upper jaw is going to be moved one way or the other. If you have at least had a consultation with the oral surgeon and know the game plan, you could always schedule an appointment with a plastic surgeon and get their opinion. If the main thing is the orthodontics, then maybe you could have the nose job first.
Is it better to have a nose job or jaw surgery first?
As a general rule, it's always best to undergo the jaw surgery first and then proceed with the rhinoplasty. Over the last 25 years, we have performed rhinoplasty both before and after jaw surgery, so there always are always exceptions to the rule. Both procedures are rather difficult, so choose your surgeons very wisely based on extensive experience with the procedures.
Order of surgery
Thank you for the question and generally it is recommended to complete orthognathic surgery before proceeding with a rhinoplasty. Obviously though there are exceptions and an examination is needed.
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Rhinoplasty or Jaw Surgery...
The nose and jaw are intimately related as it relates to providing balance to the overall face. This is especially true on profile view. Given that your jaw surgery will ultimately affect the profile I would pursue your orthognathic surgery first and your rhinoplasty second. I don't think it is necessary to wait until the full orthodontic portion of the procedure is complete to have your rhinoplasty.
Rhinoplasty and jaw surgery
Hello and thank you for your question. The best advice you can receive is from an in-person consultation. There are several options for this combination of surgery. Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Rhinoplasty: timing with orthognathic (jaw) surgery
Rhinoplasty is a surgery to improve the shape of the nose for breathing or appearance.
Orthognathic surgery is a surgery to adjust the jaw for improved contact between your teeth.
I would recommend pursuing orthognathic surgery first. The nose is set in relationship to the position of the overall face, forehead, and jaw. In addition, if you had your nose surgery first, there is potential stress on the nose during the orthognathic surgery: a large breathing tube may be placed through your nose, or the nose may be pushed while manipulating the jaw. I suggest talking to both surgeons to coordinate the safest plan. Safety comes first.
Timing of procedures
Very VERY good question. To be honest Megan, ideally both at the same time. That way you do not have to deal with anesthesia and recovery from surgery twice. That being said, if you had to do one vs the other, do the jaw surgery first. Mind you, this comes with a caveat which I will get to. The reason you do the jaw first is that if your oral surgeon and orthodontist believe that they have to displace the upper jaw in any way in order to get your dental occlusion perfect, then that will affect the position of your nose. It will affect it such that if you did the nose first, it would change the result of your surgery, leading you to possibly need a follow up tip plasty or minor revision to get it just right. The caveat, as I mentioned, is if your docs feel as though they will need to adjust your upper jaw as well. In essence, discuss this with them as any experienced ortho-oral surgery team will be able to tell you what the plan is. Best of luck! The combination of jaw surgery/rhinoplasty is one of my favorites in terms of dramatic, natural looking results. I hope some of this helps!
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