Is It Safe to Do Rhinoplasty Prior to Orthognathic Surgery?

I was injured in a car accident fracturing many bones on the right side of my face. My broken jaw healed into an extremely asymmetrical crossbite & my nose with a bump. I pursued the nose first & have my surgery paid & scheduled Now my oral surgeon is telling me that my upper and lower jaw surgery could easily wreck my nose from 1) the breathing tube going down my nose & 2) since orthognathic surgery widens the nose. Will I not be safe if I wait atleast a year? How worried should I be? Thank you

Doctor Answers 8

Rhinoplasty Prior to Orthognathic Surgery

Because orthognathic surgery does change  facial proportions  it is better to do the rhinoplasty later to achieve the best, balanced, refined  appearance. 

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Rhinoplasty should be delayed until jaw surgery completed

Dear dIstressedanddistraught As recommended by the other surgeons, your definitive rhinoplasty is best reserved for well after your orthognathic surgery. I would not worry about the breathing tube in the nose, but strongly consider discussing the surgical plan with both your facial plastic surgeon/plastic surgeon and oral surgeon. Depending on the positioning of your chin and mid face after surgery, your rhinoplasty surgeon can create proportionality with the newly balanced bone structure. In almost all instances I would recommend you Delay the Rhinoplasty if you are planning the orthognathic surgery. Best Wishes

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Get the jaw fixed, then the nose

Orthognathic surgery is the process of moving the jaws to restore facial profile and occlusion of teeth.  The bones of the face can be looked at as the foundation of the house, and the nose is the roof.  It would make better sense to fix the foundation prior to the roof.  I think waiting a year after orthognathic surgery is reasonable, although you could potentially do it sooner.

Andre Panossian, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 4 reviews

Is It Safe to Do Rhinoplasty Prior to Orthognathic Surgery?

Your Jaw surgery can change the shape, of your nose and as such it is appropriate to have that surgery first.  After a yera, the Rhinoplasty can be performed.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Orthognathic surgery

You need to do the orthognathic surgery first. This way the rhinoplasty can be certain to be "in balance" with the rest of your face. 

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Orthognathic Surgery and Rhinoplasty

It is certainly safe to do a rhinoplasty first, but it would probably not be wise.  The orthognathic surgery alters the "foundation" of your face.  The rhinoplasty is more of a finishing touch.  I suggest you get your "foundation" established and well healed, then move on to the rhinoplasty.


Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon
4.9 out of 5 stars 30 reviews

Orthognathic Surgery Before Rhinoplasty

Hi DD,

Best to have your orthognathic surgery first, let it heal. then have your rhinoplasty.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Nasal vs jaw surgery first

As a general principle othognathic surgery should precede nasal surgery. I do not know the specifics of you r case so I cannot comment on your situation without an examination.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.6 out of 5 stars 14 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.