A member asked:

Rhinoplasty before jaw surgery? i'm 23 and i want to get jaw surgery for my tmj and asymmetrical face, but want to wait until i'm 25+ to get it. i'm planning to get rhinoplasty in a couple of weeks, but many have said to get your jaw surgery done first.

9 doctors weighed in across 7 answers
Dr. Theodore Davantzis answered

Specializes in Dentistry

As : As dr fleming stated, you would be better off having any surgery to your upper and lower jaws first, then the rhinoplasty. Are you sure you need jaw surgery? Have you consulted with an oral surgeon? An orthodontist? It appears you may need a team to work with you to get things just right. Consult with them first. Hope this info helps.

Answered 10/3/2016

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Dr. Richard Fleming answered

Specializes in Facial Plastic Surgery

It : It would be best to have your rhinoplasty after the jaw surgery. If you decide to do the rhinoplasty now you may need a revision of the nasal surgery after the upper jaw repositioning which can alter the appearance of your nose.

Answered 10/4/2016

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I agree: Your jaw surgery may change your mid face, and thus your nose. Do the jaw first.

Answered 3/23/2015

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Jaw surgery: You should always get rhinoplasty after the jaw surgery. The new position of the jaws, significantly change the aesthetic of the nose. Occasionally, some patients don't need to get the rhinoplasty after.

Answered 10/10/2016

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Jaw surgery first: The new position of the jaws (if surgery is indicated for you) may greatly affect the net appearance of the nose and balance with the lips and the chin. You definitely want to have the jaws properly positioned first to set the foundation and function properly, then consider additional esthetic modifications once you have a proper reference so everything is in harmony and balanced.

Answered 3/23/2015

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Dr. Louis Gallia answered

Specializes in Surgery - Oral & Maxillofacial

Unanimous!!: It is unanimous. Jaw first, nose last. If you want the very best result.

Answered 3/23/2015

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Rhinoplasty: It completely depends on what kind of "jaw surgery" you are getting for your "TMJ". If you are getting Maxillary advancement with Le Fort cuts, then get the nose done after the maxillary advancement heals which will be 2-3 years; otherwise, you can do the rhinoplasty before the jaw surgery. I recommend consulting a facial plastic or craniofacial surgeon to plan your treatment.

Answered 3/23/2015

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