Which should be done first - nose or lip lift?

Question

I’m considering doing both rhino and lip lift separately. But I don’t know which to do first. I’ve heard some doctors say you need to do nose first, because it’ll affect lip lift you’ve had. Yet other doctors say having lip lift done will make your nose wider, so you should do lip lift first. I’m guessing that doing nose will affect lip lift and doing lip lift will affect nose. In your opinion, which do you think should be first?

Ryan Rebowe, MD · Answer

Both opinions are valid, however in general rhinoplasty is the more complex operation. There are many variables when performing a rhinoplasty and limiting the variables that could compromise your result is of the utmost importance. Having a lip lift will place a fair amount of scar tissue immediately deep to the nasal ala which may limit surgical maneuvers that can be performed by your rhinoplasty surgeon.

Ozge Ergun, MD · Answer

Thanks for the question. Rhinoplasty can be performed to change the shape, size, or symmetry of the nose, as well as to improve breathing problems. On the other hand, a lip lift procedure can enhance the appearance of the upper lip by increasing the amount of pink lip visible and creating a more youthful appearance. The order in which the procedures are performed will depend on the individual's priorities and their desired outcome. It's recommended to have a consultation with a plastic surgeon or facial plastic surgeon to discuss your goals and determine the best approach. The surgeon will be able to provide you with a personalized recommendation based on your unique facial anatomy, desired outcome, and overall health. I wish you all the best.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. If you can provide photos from front of your face, from the side of your face and 1 meter away I would be able to make a proper evaluation. Anyway, you can have these surgeries in the same time would be much better for you. It would be more convenient to decide with face-to-face consultation. Best Regards!

Jonathan Kulbersh, MD · Answer

Thank you for your question. Since rhinoplasty is one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome, it may be best to have this procedure done prior to a lip lift. Once you’ve healed from rhinoplasty and assessed the results, a lip lift procedure can then be considered. However, some patients can also benefit from undergoing both of these procedures at the same time. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to discuss your goals and options with you to help you decide on the best course of action.

Suleyman Tas, MD, FEBOPRAS · Answer

Dear Luminous593734,

Thankyou for your question! In my professional opinion and practice, I strongly recommend doing the lip lift and nose job at the same time, since lip lift surgery directly affects the shape of the nose. An experienced doctor can achieve the face harmony between the nose and lips.I am attaching a link for the procedure if you would like to look deeper and know what to expect.

Regards,
TAS TEAM

Celal Alioglu, MD · Answer

Hello in one surgery you can do Rhinoplasty and liplift surgery it will be better to do them under in one anesthesia

Steven M. Denenberg, MD · Answer

There is a place for lip lifts, but I don't like them on younger faces (younger than 75!) unless there's really something unusual going on. The scar usually can be seen, and as you've explored, the scar can pull down on the nose, making the nostrils look unnatural. I haven't seen your photos yet, but given that, my advice would be to have the rhinoplasty (with an expert, so you get the best results), and *then* decide whether you really *need* the lip lift!
Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. Most noses require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon.  And it also discusses how to take photos that are best for online evaluations.

Ronald J. Edelson, MD · Answer

I suggest not doing the lip lift at all. It often doesn’t do what you think it will. The lip will pull down the nostrils and make them look more open.

Cem Berkay Sinaci, MD · Answer

Hello, i highly recommend doing rhino first and liplift later, and doing this for my patients who wants these procedures seperately. Because the labiocolumellar angle may change with rhino and it may effect the nose-lip distance and its better to do the liplift according to the new dimentions. On the other hand liplift does not make your nose wider unless it is desired so, and could be done under local anesthesia.

William Portuese, MD · Answer

In our practice, we definitely do not recommend a lip lift procedure due to  very extensive poor scarring that occurs with that procedure. A full set of facial photographs are required to make a determination about how best to proceed with your rhinoplasty procedure.

Which should be done first - nose or lip lift?

Answers (10)

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