Is it safe to get orthognathic surgery and a rhinoplasty at the same time?

Question

Orthognathic is for correction of a bad bite and rhinoplasty (more commonly used) as we all know nose correction.

Otto Joseph Placik, MD · Answer

While many orthognathic amd rhinoplasty procedures can be performed simultaneously, there may be certain combinations of such as a Lefort I and septal surgery that are not advised.

Sam Naficy, MD, FACS · Answer

Although the 2 procedures may be combined (and often are) doing the rhinoplasty after the jaw surgery offers a greater chance for fine-tuning of the results and reduced the risk of airway complications.

Stephen Prendiville, MD · Answer

As other posters have noted, a LeFort I procedure in the same setting as a Rhinoplasty is probably not advisable. The primary reason is disruption in blood supply and potential loss of support for the nose.

William Portuese, MD · Answer

There is a great deal of facial swelling associated with orthognathic surgery and nasal swelling with rhinoplasty, which can lead to airway complications.
After rhinoplasty the nose is very swollen and patients are unable to breath through their nose and must breath through their mouth.  However, if orthognathic surgery is done at the same time as the rhinoplasty, the patient will be unable to sufficiently breath through their mouth due to  facial and oral swelling from the orthognathic surgery.   
It is best to avoid possible airway complications and have the surgeries done separately to ensure you will be able to breath through at least your nose or mouth.

Paul S. Nassif, MD · Answer

It would be best to have each procedure performed separately, as bite correction and rhinoplasty may both be complex surgeries depending on your individual needs. It may be best to have the bite correction taken care of first, as orthognathic surgery can change the movement of the nose. Hope this helps answer your question. Thank you and best of luck to you.

Morgan E. Norris, III, MD, FACS · Answer

I typically do not recommend having two facial procedures
together if they both alter the structural foundation of the face.  Rhinoplasties and orthognathic surgeries
physically alter the boney structures of the lower face and so changing one
will have an effect on the other.  I
recommend patients who are interested in improving their nose and their jaw
line to have the orthognathic procedure first with the rhinoplasty 6 months
later.  Be sure to research only board
certified oral maxillofacial surgeons.  It would also be helpful to find a surgeon who is board certified in
both oral maxillofacial and plastic surgery.Be well and good luck!@norrisplastic

Jason B. Diamond, MD, FACS · Answer

These 2 procedures can be safely performed together depending onthe extent of each procedure necessary. Your 2 surgeons should discuss the situation together to determine if you are a good candidate to have tehm done together or at a separate time.

Nina S. Naidu, MD, FACS · Answer

It is probably safe, depending on the duration and extent of your surgery, but in most cases I recommend doing your jaw surgery first and then your rhinoplasty at least 3-6 months later. Nasal and chin projection are closely related to creating an aesthetic profile, so it's best to perform significant alterations separately. Good luck, /nsn.

Scott E. Kasden, MD, FACS · Answer

Both of these procedures will change your face the form and function of your face. Together they are safe, but it may be hard to predict accurately how your nose will turn out. It would be wise to consider a rhinoplasty separately.

Steven Wallach, MD · Answer

If you need a LeFort I procedure in which the upper jaw needs to be freed from the upper face so that your bite is in alignment and your face is in proper orientation, I would consider waiting 6 months before having a rhinoplasty. The dynamics of the move may change the appearance of the nose.

Is it safe to get orthognathic surgery and a rhinoplasty at the same time?

Answers (12)

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