Is it a good idea to have face & neck lift, eyelid surgery, septorhinoplasty & buccal fat removal together?

Question

Hi. I am a 48 year old male who is interested in facial rejuvenation especially peri orbital. I received my surgery plan. It has been recommend that I do the following Face lift Buccal fat removal Neck lift Upper n lower blepharoplasty Septorhinoplasty Do you think it is a good idea to have these procedures together? Is this normal? I know it soups be rough recovery wise but I'm prepared for that.

Alan Gonzalez, MD, FACS · Answer

Hello @ramseymark, thank you for your question. I personally consider that facial rejuvenation is more than enough surgery for one surgery. Sometimes it can be combined with some surgeries that are not so extensive, but the ideal is that facial rejuvenation is done independently of the rest of the procedures. You can do it, but you must evaluate the surgical time well. Personally, I do not perform surgeries that are longer than 5 hours, and I always prefer to divide the procedures in case they are very extensive.  Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science  Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery Member (SCCP)

Anil R. Shah, MD · Answer

Yes! One procedure and one recovery! The downtime/ recovery phase may be a bit longer while doing them all at once. If you go to a skilled surgeon who specializes in all of those procedures, it is recommended to do it all at once and get it out of the way!

Gurkan Kayabasoglu, MD · Answer

Combining all surgeries at the same time to achieve a more harmonious result is the procedure we prefer most. However, we pay close attention to the duration of the surgery.

Please contact us for more detailed information and consultation.

+90 541 244 56 54

Donald Groves, MD · Answer

Hello and thank you for your question. Generally, your risk for complications increases after your surgery length exceeds 4.5-5 hours. Although there are exceptions, it takes most surgeons longer than that amount of time to perform all the many procedures you have listed. Therefore, it is possible to do all these procedures together during one surgery, but given the unnecessarily increased risk for complications in these elective procedures, I would not recommend it. The safer option would be to stage these into 2 or 3 separate surgeries to shorten the operative time for each surgery. Hope this helps! 
Best, 
Dr. Donald Groves 
Plastic Surgeon

Jeffrey H. Spiegel, MD · Answer

This is a common combination of procedures for us to do at the same time.    The procedures together should take 5 hours or so by an experienced surgeon.

Ronald J. Edelson, MD · Answer

Those procedures can be done together. The challenge is going to be making sure your surgeon is good at both facelift and rhinoplasty. This is particularly true for the rhinoplasty part

Jacob Tower, MD · Answer

Hello. hope you are well. It is very common in facial rejuvenation surgery to consolidate procedures under a single episode of anesthesia. There is no fundamental problem with undergoing the plan that was proposed. So yes, this is within the norm of plastic surgery.
Best,Dr. Tower

John Michael Thomassen, MD · Answer

In general, a rule of thumb is 6 hours of surgery at once to minimize surgical and anesthesia complications.  This sounds like a a bit longer time in surgery than 6 hours.  Maybe best to stage the septorhinoplasty.

Connie Hiers, MD, FACS · Answer

I would be very cautious about removing buccal fat. As we age, we lose fat in our face. Removing fat now will age you more later. I would suggest doing the nose surgery separate and not with the blepharoplasty.

Soon-Dong Kim, MD · Answer

Normally in Korea, we do those surgeries in one day! It takes about a whole day long, but it would be safe with in-house anesthesiologist. No worries about the surgery and please check whether they have in-house anesthesiologist or not. Thank you:)

Is it a good idea to have face & neck lift, eyelid surgery, septorhinoplasty & buccal fat removal together?

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