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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.
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.
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.
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.
I typically do not recommend having two facial procedurestogether if they both alter the structural foundation of the face. Rhinoplasties and orthognathic surgeriesphysically alter the boney structures of the lower face and so changing onewill have an effect on the other. Irecommend patients who are interested in improving their nose and their jawline to have the orthognathic procedure first with the rhinoplasty 6 monthslater. Be sure to research only boardcertified oral maxillofacial surgeons. It would also be helpful to find a surgeon who is board certified inboth oral maxillofacial and plastic surgery.Be well and good luck!@norrisplastic