Combining Rhinoplasty with a Facelift and/or Facelift/Necklift

Posted on October 30, 2025 in Facelift, Rhinoplasty, Plastic Surgery

Facial plastic surgery can dramatically enhance both appearance and confidence, especially when procedures are thoughtfully combined. At Ransom/MD in San Francisco, board-certified facial plastic surgeon Dr. Evan Ransom specializes in creating natural, balanced results through advanced surgical approaches. For many patients, combining rhinoplasty (nose surgery) with facelift surgery offers a more complete facial transformation, addressing multiple signs of aging and structural concerns at once.

Understanding Facelift

A facelift (rhytidectomy) targets sagging skin, excess fat, and weakened facial tissues that develop with time and sun exposure. By tightening underlying muscles and removing excess skin, facelift surgery restores smoother contours along the cheeks, jawline, and neck, reducing the appearance of jowls and a double chin. The facelift approach is tailored to each individual’s anatomy, medical history, and facial features to achieve a natural, youthful appearance without looking “overdone.”

What is Rhinoplasty?

Rhinoplasty, often called a nose job, is a surgical procedure that reshapes the nose’s structure to improve both function and appearance. Cosmetic goals may include refining the nose’s shape, correcting asymmetry, or achieving better harmony with other facial features. Functional rhinoplasty may also address a deviated septum or issues with the nasal septum. Dr. Ransom’s expertise in rhinoplasty surgery allows him to balance form and function while improving breathing and comfort.

The Benefits of Combining Rhinoplasty and Facelift Procedures

Performing facelift and rhinoplasty together can offer several important advantages:

• Balanced Results: A facelift rejuvenates the face and neck, while rhinoplasty refines the central facial feature, the nose. When done together, the result is more seamless and harmonious.
• Single Recovery Period: Patients undergo one outpatient procedure, one recovery period, and one course of specific instructions for aftercare, minimizing total downtime.
• Cost-Effective and Efficient: Combining surgeries often reduces facility and anesthesia costs compared to separate procedures.
• Complete Transformation: Addressing multiple areas simultaneously helps create a unified, refreshed facial appearance rather than piecemeal improvements.

Understanding Rhinoplasty and Facelift Combined Recovery

After combined surgery, patients are typically monitored in a recovery area before going home the same day. During the first week, it’s important to keep the head elevated to minimize swelling and bruising. Dr. Ransom may place small drainage tubes near the incision sites to prevent fluid buildup. Swelling and mild discomfort are common, but severe pain or signs of infection should be reported immediately.

Most patients can resume light activities within several weeks, though full recovery and final results may take longer. Dr. Ransom provides personalized guidance to ensure safe healing, including instructions on sun damage prevention, avoiding certain medications, and when to stop smoking before and after surgery to support healthy recovery.

Ideal Candidates for Comprehensive Facial Rejuvenation

You may be a good candidate for combined facelift and rhinoplasty surgery if you:

• Have visible signs of aging, such as sagging facial skin, wrinkles, or loss of skin elasticity
• Are dissatisfied with your nose’s shape or function
• Have stable medical conditions and realistic expectations
• Are seeking long-lasting improvement in your facial appearance and symmetry

Patients considering combination procedures should also discuss any previous surgeries, skin treatments, or medical history that may affect recovery or increase the risk of potential complications such as poor wound healing or permanent hair loss near incision areas like the ear or lower scalp.

Why Choose Ransom/MD in San Francisco?

Dr. Ransom is a double board-certified facial plastic and reconstructive surgeon specializing exclusively in facial plastic surgery. His meticulous techniques, artistic eye, and deep understanding of facial structure ensure natural results that complement each patient’s unique features. Every surgery is carefully planned to prioritize safety, balance, and individualized care.

Whether you’re looking to refresh your appearance, restore confidence, or address functional issues through nose surgery and facelift, Dr. Ransom provides the expertise and compassion you deserve. Schedule a consultation today at our San Francisco office to begin your personalized transformation.