Q: Would It Be Safe To Have Four Cosmetic Procedures Done At Once?

I’m considering getting Rhinoplasty (just tip work), Breast implants, an inner thigh lift and Liposuction to the flanks/mid-section. I’d like to save cost and do them all at once. Is this safe and/or possible? I’m a young, healthy woman in my mid 20’s. I have lost weight in the past and have flabby skin on my thighs and deflated breasts that can’t be remedied through exercise.

A. Length of surgery and the type of cases to be combined need to be considered.

In your case, the thigh lift has the highest morbidity in relation to DVT. Combination with liposuction slightly increases that risk. Nose surgery adds to the time. My guess is the entire case would take near 5 hours.

My advice would be to take one of the procedures off the table for now. Maybe do the liposuction another time. If you decide to combine, you will need to stay in a nursing overnight recovery center.

 

Q: Shorter But Bigger Nose After Rhinoplasty

I sustained a nose injury and met with a surgeon to have Rhinoplasty. I had photos of this famous model whose features were close to mine except her nose. Anyhow, I wanted her nose. I wanted a smaller, well-defined nose. During surgery, cartilage from my ear was put in my nose. Seven months later, my nose appears larger with no definition. It’s shorter but bigger. Could it be due to too much cartilage, and it failed to shrink as predicted? Does cartilage in the nose shrink over time, and if yes, what is the percentage of shrinkage?

A. Many factors can be contributing to the nasal shape

It would be difficult to provide a helpful answer without photographs, but generally, it sounds like you are not happy with the width of you nose as well as the amount of tip projection.

Cartilage does shrink a bit over time but I doubt it is the main reason for the mismatch here (between your expectations and the results).