Which Should I Get First…Forehead Implant or Rhinoplasty?

Q: Dr. Eppley, I am looking for advice about getting a forehead implant (and heightened nose job to match) on my very flat and wide Asian face. Could you tell me what order makes more sense to do the surgeries in—find a forehead shaping surgeon first to get my forehead implant in (likely bone cement or maybe Goretex), and then find a rhinoplasty specialist to do my nose to match, or should I do this the other way around?

I also plan on getting chin implant or genioplasty with chin liposuction but I don’t know what order makes the most optimal sense from the point of view of the surgeons being able to optimize ratios.

A: Ideally you should have the forehead and nose done together so the design of the custom implant can be used to also help create the nasal shape as well. But if done separately the order really doesn’t matter, it would be personal preference.

You would definitely do the chin augmentation and submental/neck liposuction together. There is no reason to ever separate these two completely synergestic procedures.

Dr. Barry Eppley

Indianapolis, Indiana