Is It Safe to Have Rhinoplasty and Breast Augmentation at the Same Time?

Doctor Answers 25

Rhinoplasty and Breast Augmentation at once is safe if you are healthy

It is safe to have Rhinoplasty and breast augmentation at the same time as long as the surgeon has the expertise in both surgeries. Prior to any surgery your health needs to be evaluated to make sure you are suited for surgery.

San Diego Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

Rhinoplasty and breast augmentation

One of the worst things that can happen to you if you have a breast augmentation is an infection. This requires implant removal and re-insertion weeks to months later. It is a huge hole in the ground to fall into!

For that reason, I will never perform a rhinoplasty at the same time because you cannot sterilze the nose and bacteria can get into the blood stream and infect the implant potentially.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Rhinoplasty and Breast Augmentation

Not only is it appropriate to have rhinoplasty and breast augmentation at the same time, I would advise it. You will have only one operation and one recovery. Although we do not do breast augmentation, we have a surgeon who comes to our surgery center to do the augmentation when we do the rhinoplasty.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Combination procedures

The combination of any procedures is safe as long as it's done within a safe time frame. Assuming that these two operations are done under a general anesthetic, as most Board Certified Plastic Surgeons do, then about 5 hours total is a rough average of what it will take to complete.

The sequence of these two operations you've mentioned is critical. The implant procedure should be first and the contaminated procedure (nose) should follow. Combining these operations is fully supported by the American Society of Plastic Surgeons.

Best Wishes,


Ricardo A. Meade, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 119 reviews

Breast and nose surgeries, a safe combination

If you are healthy and capable of tolerating the procedures separately then you should be able to do both procedures together. The combined procedures should not take too much time and many would argue that it is better to do combined procedures under one anesthetic than doing two separate anesthesia events.

Best Wishes

Dr. Peterson

Marcus L. Peterson, MD
Saint George Plastic Surgeon
4.6 out of 5 stars 38 reviews

Multiple Surgeries, One Recovery

Yes, it is generally considered safe to have multiple surgeries performed at once, even if they are completely unrelated as in this case. If you undergo both procedures simultaneously, you will only need to be put under anesthesia once and will only have to recover once. This means that you will not have to experience downtime, refrain from physical activity, or take off time from work or other obligations for both the rhinoplasty and the breast augmentation. 

Sam Rizk, MD
New York Facial Plastic Surgeon
4.7 out of 5 stars 73 reviews

Rhinoplasty and Breast Augmentation Safe

In general it is safe to have a rhinoplasty and breast augmentation at the same time. It is the standard of care for your Plastic Surgeon to use prophalactic (preventative) antibiotics perioperatively so the chance of infection is small. There may be a theoretical advantage to first do the rhinoplasty, then re-prep, drape, change gowns and gloves and instruments for the Breast Augmentation. 

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Rhinoplasty With Breast Augmentation

Why not?  The patient is under anesthesia. Breast augmentation just takes an hour or so and a rhinoplasty usually the same amount of time. In anything under 4 hours with anesthesia is considered safe. Therefore, there should be no contra-indication to doing both.

John S. Poser, MD
Gainesville Plastic Surgeon
3.8 out of 5 stars 11 reviews

Safe to have Rhinoplasty and Breast Augmentation at same time

Indeed it is a safe procedure to undergo both operations at the same time. Just make sure that you have gone to a rhinoplasty surgeon who has performed thousands of rhinoplasties, as rhinoplasty is a much harder operation to perform than the breast augmentation.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Performing Combination Procedures -Rhinoplasty and Breast Augmentation is Safe

Performing both Rhinoplasty and Breast Augmention is safe as a combination procedure if you do the following 5 things-

1. you are a Board- Certified Plastic Surgeon and trained and have expertise to do both

2. Perform them in less than 5 hours

3. Done in an accredited Outpatient Surgical Facility with a MD or CRNA for anesthesia

4. Use separate OR preps and separate OR instruments

5. Sequence is not important but I do the breast augmentation first and then the rhinoplasty - I give another dose of intraoperative antibiotics 30 minutes before beginning the rhinoplasty as some patients can have a bacteremial with rhinoplasty especially if one is doing a signficant amount of internal/septal work as well

The Key is to be safe and be able to deliver a good patient outcome when combining any cosmetic procedures.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 61 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.