Deep Plane Facelift with Rhinoplasty: Combining deep plane facelift with rhinoplasty (nose reshaping) addresses the aging lower face and nose simultaneously, achieving facial harmony and proportional balance in a single surgery and shared recovery period.
— DeepPlane.com Medical Team
Deep Plane Facelift with Rhinoplasty: Quick Facts
- Facial Balance
- Nose + face rejuvenation
- Additional Time
- +1.5-3 hours surgery
- Additional Cost
- +$7,000-$15,000
- Combined Recovery
- 2-3 weeks
- Splint Removal
- 7-10 days post-op
- Surgeon Requirement
- Dual-trained specialist
Source: Clinical Evidence & Medical Reviews
Deep Plane Facelift with Rhinoplasty
Quick Answer
Can deep plane facelift be combined with rhinoplasty?
Yes, when performed by a surgeon trained in both procedures. The combination — rhinoplasty first, then facelift — takes 6-9 hours and saves one anesthesia event. Recovery is 2-3 weeks with splint removal at 7-10 days. The added cost is $7,000-$15,000 over facelift alone. This combination is ideal when aging has changed both overall facial structure and the nose itself.
Source: DeepPlane.com
Why Combine Rhinoplasty with a Deep Plane Facelift?
Facial harmony depends on the proportional balance of all features. A lifted, rejuvenated lower face can make nasal concerns more noticeable, and vice versa. Combining rhinoplasty with deep plane facelift — at an additional cost of $7,000-$15,000 — achieves integrated, proportionally balanced results while saving one anesthesia event and shared recovery.
- •One anesthesia event reduces cumulative medical risk compared to two separate procedures.
- •Integrated planning ensures nose changes and face rejuvenation produce proportional harmony.
- •Shared recovery means 2-3 weeks total downtime versus 5-6 weeks across two staged recoveries.
Rhinoplasty and deep plane facelift address different aspects of facial appearance, but they are deeply interconnected aesthetically. The nose sits at the center of the face, and its proportional relationship to the rejuvenated lower face determines overall facial harmony. Aging also changes the nose itself: the nasal tip descends due to weakening of supporting cartilage, the dorsum may become more prominent as surrounding tissue descends, and the columella may drop — changes that facelift alone cannot address. When a patient needs both structural facial rejuvenation and nasal refinement, combining the procedures produces a more coherent aesthetic result than addressing each independently.1
Combine vs. Stage: Key Considerations
Combine in One Session
Advantages
- • One anesthesia event
- • Shared recovery (2-3 weeks total)
- • Saves $3,000-$6,000 in facility/anesthesia fees
- • Integrated aesthetic planning
Considerations
- • 6-9 hour surgery — longer time under anesthesia
- • Requires surgeon skilled in both procedures
- • Cannot see intermediate results before committing
Stage Separately
Advantages
- • Shorter individual surgery times
- • Can assess facelift results before rhinoplasty
- • Easier to find specialists for each procedure
Considerations
- • Two separate recoveries (5-6 weeks total)
- • Higher total cost — duplicate facility/anesthesia fees
- • Longer timeline to final result
Finding the Right Surgeon
The single most important factor in combined facelift-rhinoplasty is surgeon selection. This combination requires deep expertise in both disciplines simultaneously. Facial plastic surgeons who completed fellowship training in both facial rejuvenation and rhinoplasty are the ideal choice. Board certification by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) or the American Board of Plastic Surgery with fellowship training in facial surgery should be verified.3
Review the surgeon's rhinoplasty portfolio specifically — not just facelift results. Rhinoplasty is one of the most technically demanding operations in plastic surgery, and a surgeon who primarily performs facelifts may not have the rhinoplasty expertise needed for optimal nasal outcomes. Look for surgeons who document combined cases in their before-and-after portfolios.
Who Is a Good Candidate?
Good Candidates
- • Nasal tip descent that has worsened with age
- • Dorsal prominence that becomes more apparent as facial tissues descend
- • Prior rhinoplasty seeking revision alongside facelift
- • Patients with both nasal concerns and significant lower face aging
Consider Staging If
- • Complex revision rhinoplasty is required — high uncertainty about outcome
- • Surgeon is not equally experienced in both procedures
- • Patient wants to assess facelift result before committing to rhinoplasty
- • Medical history requires minimizing total anesthesia time
Frequently Asked Questions
Medical References
- [1]Hamra ST. The deep-plane rhytidectomy. Plast Reconstr Surg. 1990;86(1):53-61(Journal Article)Accessed: 2026-03-21
- [2]Rohrich RJ, et al. Current Concepts in Deep-Plane Face Lifting. Plast Reconstr Surg. 2021;148(5):1025-1038(Journal Article)Accessed: 2026-03-21
- [3]Guyuron B, et al. Factors contributing to the facial aging of identical twins. Plast Reconstr Surg. 2009;123(4):1321-1331(Research Study)Accessed: 2026-03-21
- [4]Jacono AA. Combination facelift and rhinoplasty: managing patient expectations. JAMA Facial Plast Surg. 2013;15(4):289-294(Journal Article)Accessed: 2026-04-13
- [5]
- [6]American Board of Medical Specialties - Board Certification Standards(Organization)Accessed: 2026-04-01
Key Facts
Common Misconceptions
Myth: Facelift and rhinoplasty should never be done in the same surgery
Fact: Combined facelift-rhinoplasty is performed regularly by dual-trained facial plastic surgeons. When the surgical sequence is planned correctly (rhinoplasty first), the procedures complement rather than interfere with each other.
Myth: Rhinoplasty results are immediately visible
Fact: Rhinoplasty swelling resolves gradually over 6-12 months. The tip typically shows residual swelling for the longest period. Patients should understand that the initial post-splint appearance is not the final result.
Myth: One surgeon cannot be skilled in both facelift and rhinoplasty
Fact: Facial plastic surgeons complete fellowship training specifically covering the entire face, including both rhinoplasty and facial rejuvenation. Many top-tier facial plastic surgeons are equally skilled in both disciplines.
Points Worth Noting
Review the surgeon's rhinoplasty portfolio specifically — not just their facelift before-and-afters
Glasses cannot be worn on the nose for 4-6 weeks after rhinoplasty — tape or contacts during this period
Nasal tip numbness is common for several months as sensation recovers through healing tissue
Contact sports and activities with nasal injury risk should be avoided for 3-6 months post-rhinoplasty
Medically Reviewed
Dr. Yakup Duman
Plastic, Reconstructive & Aesthetic Surgery Specialist
Board-certified Plastic & Aesthetic Surgery specialist with 20+ years of experience. Specializes in deep plane facelift at Merkez Prime Hospital, Istanbul. Medical Reviewer for DeepPlane.com.
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