Is it possible to get a rhinoplasty and tonsillectomy at the same time?

 Tonsillectomy is really not performed that much anymore, so is important to have the right indications if you think you need  your tonsils out. Performing a tonsillectomy is much more painful than the rhinoplasty, and it might be best to stage them.

Both procedures would probably be done under at least sedation if not general, also I doubt anyone would want to do both procedures at the same time.

You should discuss this with your rhinoplasty surgeon and ENT surgeon.  I think that it might be better to stage them.