Should a Lip Lowering Procedure Be Performed Before or After Rhinoplasty/Otoplasty?

Lip lowering techniques are challenging to perform. I would recommend not doing them with a rhinoplasty, but one can do it with an otoplasty. One must be very cognisant of how this procedure is done as results can be unpredictable.

If the lip is lowering procedure were confined to the gums, it can be performed simultaneously with the rhinoplasty. However, some discomfort in the teeth can occur after a deviated septum correction. Therefore, it is probably better to do the lip surgery first and then the Septoplasty/rhinoplasty. The Otoplasty can be done with no effect to either surgery.

There is no problem with releasing the upper lip at the same time as the rhinoplasty - you seem to have a lateral component to the gummy smile and may also benefit from Botox to the central lip elevators