Lip lift before or after open rhinoplasty? (Photo)

Question

I am looking to get a lip lift and rhinoplasty. I have been told to do the nose job first but I kind of want to see if my lip lift would improve my appearance so I don't need it. What should I do? I would get a open rhinoplasty

Andrew Miller, MD · Answer

Typically we do the rhinoplasty first - it's usually the thing that the patient is most concerned with. Then, after appropriate healing, the lip lift is done to tie everything together. Be sure you are seeing a facial specialist for consultation.

Marc Polacco, MD · Answer

Thank you for your question. There isn't a preferred order to either procedure, and both could actually be performed during one surgery. All the best.
-Dr. P

Christian L. Stallworth, MD · Answer

Thanks for your question.
Lip lifting and rhinoplasty can be performed together or separately.  There is more risk when they are done together, but that is not to say that some surgeons don't perform them successfully together.  Lip lifting can also more easily be done with local anesthesia in the clinic setting with relatively little down time.  If you are considering both but on the fence, I encourage patients to prioritize the one thing that bothers them the most and do that.  1.  If that is successful and fixed everything for you, then you are done!  2.  If its successful but you still want the other (in this case rhinoplasty), then you will undoubtedly return with the same surgeon and have the second surgery - nothing is lost in this scenario.  Neither of these procedures is mutually exclusive or tightly co-dependent on the other.  You can successfully perform them in any order and at any time you want.  
Hope that helps.

Daniel Barrett, MD · Answer

Dear Bright810693,
every plastic surgeon has his own preoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Great question. If you decide on one option, the lip lift first (if you think that may improve your facial features the most) may be best. The recovery is less and may save you from an unnecessary procedure. I would give adequate time to heal before proceeding with the rhinoplasty, if you go that route. There are many ways to approach the order - just my thoughts. Hope that helps!

William Portuese, MD · Answer

In our practice, we do not perform a lip lift lift for variety of reasons. The incision tends to heal very poorly in that location. A full set of facial photographs from all angles are Required to do make a determination about performing nasal surgery, since the nose is a three-dimensional structure.  An open rhinoplasty would not be necessary. Shaving down the hump, placement of cartilage spreader grafts, refining the nasal tip and performing osteotomies in the nasal bones can all be performed with the closed rhinoplasty. All the incisions placed on the inside of the nose. No external incisions are required. No painful packing is required either.

Darryl J. Blinski, MD · Answer

Best to do rhinoplasty first. Allow 4-6 months healing then determine if you desire a lip lift. Best to virtual consult.

Lip lift before or after open rhinoplasty? (Photo)

Answers (7)

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