Can I do rhino, lip lift & lower blepharoplasty all in one?

Yes, it is possible, but I personally do not recommend for my patients to have a rhinoplasty and lip lift at the same time. The risk of doing rhinoplasty and lip lift at the same time is that there are too many variables at play which could make it difficult to obtain a satisfactory outcome. I do often perform a rhinoplasty and blepharoplasty surgery at the same time with fat transposition with great outcomes.

The short answer to your question is that combining all three procedures at the same time is not only safe, but makes sense given the parameters that you have mentioned. Though you have not provided photos, I think that you are looking for a lip lift more than a lip flip and this is also safe to have performed at the same time as your rhinoplasty and blepharoplasty.

Hello,
Thank you for your question
Yes, it is medically feasible and fairly common for experienced facial plastic surgeons to perform a rhinoplasty, lip lift, and lower eyelid blepharoplasty with fat repositioning in a single surgical session. Combining these procedures under one anesthesia can be safe and efficient when performed by a qualified surgeon, minimizing overall recovery time and reducing anesthesia-related risks. However, careful patient selection is crucial—your overall health, healing capacity, and anatomical considerations must be evaluated to ensure safety. Surgeons who routinely perform all three procedures are best suited for this approach, as each involves delicate facial structures and aesthetic balance. A thorough consultation including facial analysis, medical clearance, and discussion of recovery timelines is essential to determine if you're a good candidate for combined surgery.

To start with, do not get fat repositioning, it is one of the mythical unicorns in plastic surgery, like buccal fat pad removal and others, it returns no benefit (patients look the same) or even creates unsightly looks or major complications.

There are some interactions to consider in the set of treatments you are aiming to, essentially due to the antomical viccinity between them.

A lip lift may jeopardize the vascularity of the nasal skin, given the nose is already diminished in its flow due to the surgical access from the rhinoplasty itself; many factors to consider here in order to approve or not such combination, in any case it is a matter to be thoroughly assessed by and with your surgeon.

The rhinoplasty may lead to an orbitary haematoma and eye ball / optical nerve compresion when osteotomies are applied (as a general rule they are) and certain times of lower blepharoplasty are associated simultaneously; again to be planned and discussed with your surgeon.

I have personally done these combinations without complications, and also have refused to associate them in a single procedure in some patients, it all depends on the technical-vascular-anatomical assessment I do on each particular complex-facial-plastic-surgery intervention I plan; a thorough conversation to explain pros and cons with the patient is mandatory, plus written one.

Hi thank you for your question. As a facial plastic surgeon, I do all three of these procedures Rhinoplasty, Lip lift, and lower blepharoplsty with fat transpostion or fat grafting relatively frequently. This is a combination of surgeries that can all be done at once. You would be able to take advantage of having one down time for recovery from all 3 procedures (about 2 weeks).

It would be best to see a board certified facial plastic surgeon as these are the specialists that do these procedures most frequently.

Rhinoplasty, lip lifting, and under-eye surgery can be safely performed together during the same session.Many patients choose to undergo these procedures simultaneously to minimize the overall recovery time and avoid experiencing swelling and discomfort multiple times.
For these procedures, stitches and splints are generally removed on the 7th day after surgery, while the stitches inside the nose are typically removed around the 14th day.
In particular, when rhinoplasty is combined with a lip lift, if nostril reduction is performed, the same incision used for the nostril reduction can also be utilized for the lip lift.This means there is no need to create an additional wound, which is a clear advantage of combining these procedures.

Yes, a lip lift can be performed safely with a number of facial surgery procedures including blepharoplasty, rhinoplasty, and fat transfer. A lip lift and facial fat transfer can be done rather easily under local anesthesia , but a lower lid blepharoplasty would require general. In situations like this, it is often less expensive to stage it to do lip lift under local anesthesia, albeit the price difference probably won't be a lot different -- maybe a couple thousand.

A rhinoplasty and blepharoplasty can be performed at the same time. It is usually preferable to perform a lip lift secondarily and not at the same time as the rhinoplasty since the lip lift incision is made along the base of the nose. We most commonly will perform a lip lift under local anesthesia, so there isn't an anesthesiologist cost associated with that procedure. See a board certified plastic surgeon who is experienced in these procedures in your area for a consultation and to discuss further.

It’s absolutely reasonable to want to combine rhinoplasty, a lip lift, and lower lid blepharoplasty with fat repositioning to reduce anesthesia exposure and recovery downtime. Many facial plastic surgeons—particularly those who are double board-certified—routinely perform this type of combination surgery, especially if they focus exclusively on facial procedures. The key is choosing someone who is highly experienced in all three, not just one or two. A consultation with a specialist will help determine if you’re a good candidate for this 3-in-1 approach and ensure it’s done safely without compromising your results.

Without photos, its hard to give recommendations, but rhinoplasty with lip lift is quite common done together and adding in lower blepharoplasty with fat transposition would have more swelling in the same areas but ideally a good combination. The question is your anatomy and if these procedures fit what is needed for you and the difficulties you might encounter (therefore seek a few opinions and ask questions) Be ready for 6-12 weeks of swelling / bruising and then chronic slow mild swelling for up to 6-12 months.