Should I Have A Rhinoplasty Before or After Having Midface Implants?

Q: Dr. Eppley, I’m an Asian female looking to enhance my midface region, namely frontal cheekbone and paranasal area. I also plan on getting a rhinoplasty either before or after facial implants. I was wondering if getting a midface/paranasal implant would affect rhinoplasty – would lateral osteotomy and alarplasty be affected if I got the implants beforehand? If I got implants after rhinoplasty, would the paranasal implants alter rhinoplasty results? Would you recommend getting facial implants or rhinoplasty first?

A: It would make the most sense to have the rhinoplasty first since paranasal/midface implants may be either in the way of the osteotomies or become secondarily infected by the location of the osteotomy line.

Dr. Barry Eppley
Indianapolis, Indiana