Should I Treat My Negative Orbital Vector Before or After A Rhinoplasty?

Q: Dr. Eppley, I was thinking of getting a nosejob to help improve the symmetry of my face but I’ve recently come to the realization I may have a negative orbital vector. I’d like to correct this issue but I’m not sure if I should I get a rhinoplasty before or after I do anything around my cheeks.If it is possible to fill in my cheeks before a rhinoplasty, can I receive an estimate of the recommended procedure?

A:I would do the rhinoplasty first as it will make the negative orbital vector look better and may thus affect whether you would want to treat it. (see attached imaging)

Dr. Barry Eppley

World-Renowned Plastic Surgeon