Bariatric patient- body makeover and rhinoplasty - what order?

Question

I am a bariatric patient maintaining at my goal weight over 10 stone loss and healthy BMI. I have a fair amount of loose skin and I wanting procedures to done, arm lift, tummy tuck, back lift and breast lift with implants. And for ages I have wanted a rhinoplasty! I am at the start of my research unsure on what to have done first. The rhinoplasty will be with one surgeon and body makeover with another over multiple surgeries. In your opinions what order would you do them? Thank you

Santdeep Paun, MBBS, FRCS · Answer

Hi 
I don’t think there is a right or wrong in this question. It can be done either way although my preference is usually to do the rhinoplasty at the end. It reely depends what your own priorities are and whether the nose is bothering you enough to do it first. If you lose a lot of weight it can change the facial dimensions hence why I like to do the nose once everything else has settled so that the balance between the nose and the rest of the fact is harmonious.

Ronald J. Edelson, MD · Answer

I don’t think it matters which is done first. I recommend going first with the procedure you want the most. The body surgery may need to be done in stages so figure that into your decision as well.

Behrad Elmiyeh, MBBS, MRCS, FRCS (ORL HNS) · Answer

Great questions. The most important issue is to allow complete healing to occur before you proceed with your second surgery. I would suggest to address what is more concerning to you and to have that addressed first.
Best wishes,

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