Rhinoplasty before orthagnathic/jaw surgery?

Rhinoplasty can be done either before, during or after jaw surgery.  I usually recommend the jaw surgery first.  Then it will be easier to plan for what needs to be done as far as the nose is concerned.  Each case needs to be individually evaluated depending on your desires and the advice of your surgeon.

First, decide whether you will get orthognathic surgery or not. If not, go ahead and consider the rhinoplasty. If yes to the orthognathic surgery, definitely have that done, let it heal, and *then* have the rhinoplasty.

I'm not certain there really is an advantage of doing one over the other. There's also the possibility they might be done concurrently. Definitely something to discuss with your surgeons.

Thank you for writing. Surgery on the mandible (lower jaw) shouldn't affect the rhinoplasty, and rhinoplasty shouldn't affect the lower jaw surgery. Surgery on the maxilla (upper jaw) could have an affect on the rhinoplasty both cosmetically and functionally. As some of the other respondents have pointed out, planning for surgery on the upper jaw with rhinoplasty needs to be a team effort between the oral surgeon and cosmetic surgeon. There shouldn't be a reason you couldn't have both the rhinoplasty and upper jaw surgery. Make sure both surgeons are board certified and well experienced in these procedures. Good luck to you.

You are thinking correctly. The first move should be to consult with both the oral surgeon and the nasal cosmetic surgeon. One issue which must be addressed is your nasal passages. Is there any blockage? That is important since to put you to sleep for the jaw surgery, the anesthesia specialist has to put a tube through your nose into the lungs. If the nose if blocked, perhaps from a deviated septum, that may have to be addressed first. Both doctors should speak with each other after you have consulted since they will recommend the best order of the two surgeries.

 If the upper maxilla in the lower mandible or undergoing orthognathic surgery, that should probably be done first, and then a rhinoplasty done afterwards.

Thank you for your question and I would complete my orthagnathic surgery first before undergoing a rhinoplasty Dr Corbin 

Dear MartinExcel123, I see from your other posts that you have already had a rhinoplasty procedure with grafting so you would be considering revision rhinoplasty and you currently have multiple concerns of nasal collapse and functional issues. Due to your current issues I would strongly suggest at this point seeking consultations in both fields of specialities and discuss your concerns with the two surgeons you decide upon. The surgeons will then converse with each other on your behalf to determine a good surgical plan that would best benefit your needs. Since intubation for the jaw surgery must be done through the nose the most common practice is to have the orthagnathic surgery first.  Best regards, Michael V. Elam, M.D.

 Hi, if you are certain that you will doing orhthognathic surgery, it's best to wait for a year following that procedure to have a Rhinoplasty.  This allows time for any shift in the nose, created by the orthognathic surgery, to settle before the Rhinoplasty.  Hope this helps.  

If the surgery is being done only on your lower jaw you can have the rhinoplasty at any time. If the upper jaw or teeth will be modified, wait until after the orthognathic, jaw surgery is completed.