Is it true that having rhinoplasty and chin implant surgery at the same time will reduce the cost?

Question

I’ve heard that if you have a chin implant and a rhinoplasty at the same time it will reduce the overall cost compared to having them done separately, is that true? And if so, how much of a price difference would there be?

Dhaval M. Patel, MD · Answer

Thank you for your question. Most Surgeons will give a small discount if more than one surgery is being done in one procedure. The best thing to do is consult with a board certified plastic surgeon to get an exact quote because everybody is different. Best of luck!Dhaval M. Patel Double Board Certified Plastic Surgeon Hoffman Estates Barrington Oakbrook Chicago Orland Park

Steven M. Denenberg, MD · Answer

Click on the "Learn more" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_Kinney.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.In that profile view, I lowered the little bump on the bridge, and I elevated the tip, and I also brought the tip of your nose back a little closer to your face. Your weak chin makes the nose appear more prominent, so making the nose less prominent can be helpful. You have a bit of a wide tip, like the woman in the short video that I posted with this answer, and narrowing the tip will help, too.In the morph, I simulated a small chin implant. I may have brought the chin forward less than many plastic surgeons would recommend. Your chin is tall, when measured vertically from where your lips meet down to the bottom of the chin, and that means that too much augmentation of your chin would make it look too prominent. When the vertical height of the chin is big, to my eye at least, it's better to go with a smaller implant. Hope that made sense.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Learn more" link on how to stay out of trouble while searching for a rhinoplasty surgeon. You should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read that page very carefully. Most plastic surgeons are quite poor at this operation, and I believe my advice will go a long way toward keeping you safe.
I'd love to hear what you think of the morph. Did it seem to address your main concerns? I could change something about the morph if you like.
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Most plastic surgeons will offer a discount for multiple procedures when performed at the same time.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

William Portuese, MD · Answer

The cost of the operating room, anesthesia, the surgeon's fee and the implant fee are all factors that are combined in the cost of both procedures. It is usually cheaper to perform the procedures together rather than separately, due to the fact that the cost of the operating room and the anesthesia is usually front loaded. Rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery, so it's important to choose quality, not price. The nose is the most central feature on your face.  Digital computer imaging would be helpful to understand what can be accomplished with both procedures upon your facial features. For many examples of rhinoplasty performed in combination with  a chin implant , and our current price list for both procedures, please see the link and the video below

Michael Elam, MD (retired) · Answer

Dear Kinney, Having these procedures combined together is very important not only to save yourself one anesthesia and operating room fee, one recovery but most importantly allowing better results as the surgeon can properly balance your facial aesthetics. In my practice in patients who need combined procedures of chin augmentation and rhinoplasty these are always combined together. See examples in the link and video below. Best regards, Michael V. Elam, M.D.

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