Can I have a lip lift and rhinoplasty completed at the same time? (Photo)

Question

I would like to have the tip of my nose reduced and if needed the bridge reduced as well.. if possible I would want to complete a lip lift at the same time to increase the size of mostly my upper lip.. if there was anything else the doctor would recommend it would be good to know, but those are the 2 thing that I have specifically been wanting to do.

Jeffrey H. Spiegel, MD · Answer

it was long considered unsafe to do a nose surgery and a lip lift at the same time. Many years ago I realize that this was an unfounded concern. A couple of years ago I published a paper showing experience with well over 100 lip lift rhinoplasty combinations done at the same setting. It is typical for me to do these two procedures together because they compliment each other and you have just one healing period.

Matthew Richardson, MD · Answer

Yes, I frequently perform these two surgeries together. These two procedures often go hand in hand and the patient only has to heal once with one scar. That being said, based on the photos provided, a lip lift might not be the best option because it would increase tooth show and might lead to too much of a gummy smile. I would recommend speaking to a facial plastic surgeon to determine if you are a candidate for both of these surgeries. All the best,

Farhad Rafizadeh, MD · Answer

I would not mind doing a lip lift and a rhinoplasty at the same setting. The smiling pictures that you are including do not allow evaluation of your nose or your lip. Therefore you would need to be seen. You might want to arrange for a video conferencing if you are far from Morristown NJ.

Gary Linkov, MD · Answer

There are surgical and non-surgical approaches to lip augmentation. Non-surgical approaches include botox (slight lift, reducing gum show) and filler (volume restoration). Surgically, you can have two separate incisions under the nose (italian), one incision under the nose (bull horn), one incision at the red/white upper lip junction (gull wing) or two separate incision at the corners, or a combination, depending on your desired look and anatomy. 
Rhinoplasty requires exceptional skill on behalf of the surgeon and great communication with the patient about realistic goals and expectations.
Common cosmetic concerns include a dorsal hump, wide nose, sunken nose, irregularities, and asymmetries. Functional concerns include difficulty breathing through the nose, which can and should be addressed at the same time as your rhinoplasty.
You might benefit from tip defining procedures using either cartilage grafting or suturing techniques that would harmonize your nose and create a more natural, elegant look. 
In your situation, a photo at rest and mouth slightly open would help determine whether or not you are a good lip lift candidate. The boxy tip can definitely be corrected. Combining the two should not be a problem if you qualify for both. Please check out the video below.
Gary Linkov, MD
Lip Lift and Rhinoplasty Specialist
Manhattan

Gary M. Horndeski, MD · Answer

Yes, a lip lift and rhinoplasty can be done at the same time.  However, in the photographs you provided you are smiling.  I need a photograph in repose to access whether you need a lip lift or not.Best Wishes,Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear  jenmerce,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Miguel Mascaro, MD · Answer

Thank you for your pictures! As far as doing both things together, you can certainly do them together, however, depending on the overall goals of your rhinoplasty it may limit what can and cant be accomplished during a lip lift, specially if you want to have an outstanding result.  That being said, 9 times out of ten you can do them both at the same time, and as long as the doc who is doing them is aware of what your goals are for both, they can account for what the maneuvers will do for each procedure.  When I do both at the same time, I always mention this specially when it deals with the tip and tip work.  I hope some of this helps! Best of luck and youll do great!

Bryan Rolfes, MD · Answer

Jen, You can certainly do those two procedures together - most of the lip lifts I do are at the same time as rhinoplasty.  You should have an evaluation done by a surgeon who is very experienced in lip lifts.  They will look at your lip position at rest (not smiling) to make sure a lip lift is right for you.   -Dr. Rolfes

Piotr Osuch, MD · Answer

Hi there, 
yes, theoretically & technically it's possible to combine both surgeries under same, general anesthesia, BUT: base on the pics you attached you don't seem to be a good candidate for a lip lift. Here are the reasons: 1/ you seem to have quite a short philtrum 2/ you've got good tooth show. In your case lip lift may result in a gummy smile plus it's not safe to perform LL on people with short philtrum.

Best regards, 
Piotr Osuch, MD, PhD

Jeffrey Jumaily, MD · Answer

You can certainly have a lip lift and a rhinoplasty at the same time. As long as they are done by an experienced surgeon in both of these areas. It's hard to make any strong suggests on these photos because you're smiling in them but consider a consultation to learn more and go over the nuances. Best wishes

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