Braces before or after rhinoplasty?

Question

I’m wondering if I it matters if I get my nose job before braces or not. Since I’m not really interested in waiting. I’m Female, late/mid teens. I have over crowding and a overjet/bite that requires braces.As well as potential teeth pulling out. My overbite/ jet is 9 mm at most. But it varies due to overcrowding. My upper teeth do not cover my lower teeth a lot, it not a deep bite.

Randal Haworth, MD, FACS · Answer

The decision of whether to undergo a nose job (rhinoplasty) before or after braces depends on various factors, including your individual circumstances, the specific concerns with your nose, and the recommendations of your orthodontist and plastic surgeon. It's important to consult with both professionals to determine the best sequence of treatments for your case.

In general, orthodontic treatment with braces is typically recommended first to address any bite or alignment issues with your teeth. Correcting the overcrowding and overjet/bite with braces can help improve your dental health and overall bite functionality. It may also create more space in your mouth, which could potentially impact the aesthetics of your face, including the relationship between your nose and teeth.

Once your orthodontic treatment is complete or near completion, you can then consider rhinoplasty. The reason for this sequence is that the position and alignment of your teeth can affect the balance and proportions of your face, including the appearance of your nose. By addressing the dental issues first, you provide a stable foundation for the nose job, allowing the surgeon to better plan and achieve optimal aesthetic results.

However, every case is unique, and there may be specific circumstances where a different treatment sequence is more appropriate. It's crucial to consult with both your orthodontist and a qualified plastic surgeon who specializes in rhinoplasty. They will be able to evaluate your specific concerns, discuss your goals, and provide personalized recommendations based on their expertise and your individual needs.

By coordinating with both professionals, you can develop a comprehensive treatment plan that addresses both your dental and nasal concerns, leading to the best possible outcome.

I hope this helps,
best of luck !

Zachary Farhood, MD · Answer

Shouldn’t make a difference. If you need actual jaw advancement surgery then do that before the rhino.

Rajan Uppal, MBBS, FRCS · Answer

This shouldn't make too much difference to nose surgery but it really depends on your consultation with your surgeon and orthodontist.

Ozan Erol, MD · Answer

Hello, It's the better option to get after the rhinoplasty. After 1 month you might have the braces.

Ruslan Zhuravsky, DO · Answer

Good question! Although the braces themselves are not an issue for rhinoplasty, there are 2 considerations. The first is to plan the braces treatment so as to avoid an extensive work at least 1-2 weeks prior to surgery, or several weeks after surgery. The main concern here is to avoid excessive swelling, infections, or accidental injury to the nose. The second consideration is to make sure that braces alone are the required treatment for an adequate, long lasting result, and that Oro maxillofacial surgery is not required. Certain alignment issues (occlusion issues) can only be partially or temporarily treated with braces. I have seen some orthodontists still do braces, knowing the success rate is low, and additional braces will be needed down the line. It is a good idea to ask how reliable the correction will be, and if jaw surgery should be considered. At that point you can learn about jaw surgery and decide if it is right for you. Upper jaw surgery (maxillary le forte 1) will alter nasal appearance. Hope that helps!

Eric M. Joseph, MD · Answer

The order really doesn't matter, however, if you are going to have extensive work on the inside of your mouth having braces placed, We would not want there to be any incidental injuries to your nose. Great question, and I hope this helps. Sincerely, Dr Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.You can start your braces treatment before the rhinoplasty / or after. Both are ok.Anyway, please keep in mind that we recommend you to wait at least for 3 months post-rhinoplasty surgery to get the braces, just to avoid any risk to hit your nose when the braces are installed. 
Best regards!

Andrew Miller, MD · Answer

Having braces placed and the slow movement of the teeth that occur, doesn't really affect the outcome of a rhinoplasty so you can do them at any time. Be sure you are seeing a rhinoplasty specialist for consultation though.

Ronald J. Edelson, MD · Answer

You could deal with braces and rhinoplasty in any order you like. You can even have your nose done while in braces. It wouldn’t matter at all

Niyazi Altintoprak, MD · Answer

Having Orthodontic work done before rhinoplasty will not have any affect on the results of the surgery in general. Unless you are using daily head gear that touches and rests on your nose, there shouldn't be any affect on the recovery.

Braces before or after rhinoplasty?

Answers (15)

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