Combining surgeries - is it better to have rhinoplasty separate from facelift, neck lift, lateral brow lift and blepharoplasty?

These surgeries are technically safe to do together, but the biggest thing is that your surgeon is able to do that much surgery efficiently to give you a great result while not keeping you under anesthesia for too long (which is the main safety concern here). Personally, I would perform this combination of cases if each part was a straightforward case, but if any one part was more complicated (for example, if the rhinoplasty was a challenging revision rhinoplasty) I would stage them into multiple cases.

If the patient is healthy, a rhinoplasty can certainly be combined with facelift, eyelid, and brow surgery, and it's something we do regularly. You wouldn't want your anesthesia time to be any longer than 6 hours or so you would want to confirm that. Usually the cost is a bit less expensive and you have only one recovery period when you combine surgeries. But if you want to separate, that's ok too.

Thank you for sharing your thoughts and question. Combined procedures can be safely performed in general, but longer time under anesthesia can increase certain risks. Based on what you’ve described, it may be wise to consider separating the rhinoplasty from the facial rejuvenation procedures (facelift, neck lift, lateral brow lift and blepharoplasty) to balance safety with aesthetic and functional results. I can’t provide personalized medical advice without a formal consultation, but discussing your options with a plastic surgeon experienced in both rhinoplasty and facial rejuvenation can help you make the safest and most effective plan for your goals.

That all depends of your medical condition, skill of the surgeon and surgery center rules in your state. In state of Florida, where I practice, outpatient surgery center surgery should not be scheduled longer than 6 hours. Benefit is a single recovery time and discomfort. Hope this helps.

Thank you for your question. I have been in practice for over 30 years. I routinely performed rhinoplasty with my facial rejuvenation procedures. It really adds very little to the recovery and I recommend that you do it at the same time. Best wishes to you.