Rhinoplasty With Temporal Browlift and Midfacelift B&A

Patient Overview

• Patient: Milena

• Age: 27 years old

• Gender: Female

• Procedures: Temporal lift (browlift + midfacelift), rhinoplasty

• After photos taken at: 21 days post-surgery

• Location: Istanbul, Turkey

Why Combining Rhinoplasty With a Temporal Lift Creates a Balanced Result

The nose does not exist in isolation. It sits at the centre of the face, and how it looks is influenced by every structure surrounding it, from the projection of the cheekbones to the position of the brows and the proportions of the midface. This is why rhinoplasty performed without considering the rest of the facial framework sometimes produces a result that looks technically correct on the nose itself but feels somehow incomplete when viewed as a whole. For Milena, a 27-year-old woman who came to Istanbul for her surgery, both she and Dr. Cem Berkay Sinaci, a Fellow of the European Board of Plastic Reconstructive and Aesthetic Surgery (FEBOPRAS) and member of ISAPS and ASPS, agreed that combining rhinoplasty with a temporal lift including browlift and midfacelift would produce a far more harmonious outcome than nose surgery alone.

How Facial Proportions Influence the Perception of Nose Shape

Plastic surgeons assess the face in thirds. The upper third extends from the hairline to the brows, the middle third from the brows to the base of the nose, and the lower third from the nose base to the chin. When all three zones are in proportion, the face appears balanced regardless of individual feature size. When one zone is out of balance, it can distort the appearance of adjacent zones.

At 27, Milena was not experiencing age-related volume loss or significant skin laxity. However, subtle structural imbalances can exist at any age. A brow that sits slightly low can make the nose appear more prominent by shortening the visual distance between the eyes and the nose bridge. A flat or mildly descended midface can reduce cheekbone definition, which in turn removes the lateral frame that gives the nose its proportional context. By lifting the brow and midface before reshaping the nose, Dr. Sinaci ensured that the rhinoplasty was designed for Milena's optimised facial proportions, not the pre-existing imbalance.

Temporal Lift in a Young Patient Without Age-Related Concerns

When patients hear the words facelift or browlift, they often assume these procedures are reserved for patients in their fifties and beyond. In reality, the temporal lift is a versatile procedure that serves different purposes depending on the patient's age. In older patients, it corrects gravitational descent. In younger patients like Milena, it refines the natural resting position of the brow and midface to enhance facial harmony.

Some people are born with a naturally lower brow position or a midface that sits slightly flatter than ideal. These are not ageing changes but inherited anatomical characteristics. A temporal lift in this context is not about turning back the clock but about optimising the facial framework that the patient was born with. Through small incisions hidden within the hairline at the temples, Dr. Sinaci elevated Milena's lateral brow to create a more open eye area and repositioned her midface tissue to enhance cheekbone projection. The result is subtle but meaningful, a refinement that makes the entire face appear more balanced and provides the ideal setting for the rhinoplasty result to shine.

The Rhinoplasty Component and Nose Reshaping Philosophy

Rhinoplasty remains one of the most technically demanding procedures in plastic surgery because the nose is a three-dimensional structure composed of bone, cartilage, soft tissue, and skin, all of which interact with each other and influence the final shape. Changes to one component affect every other component. Reducing a dorsal hump, for example, changes the apparent width of the nose. Refining the tip alters the perceived length. Adjusting projection affects how the nose relates to the chin and forehead.

Dr. Sinaci's approach to rhinoplasty is guided by a principle of structural integrity. Every modification must be supported by a stable underlying framework. Cartilage that is reshaped is also reinforced with grafts or suture techniques to prevent long-term collapse or distortion. The nasal skin is then allowed to redrape over this refined structure, and the final shape emerges gradually as the skin contracts and the swelling resolves over months.

For Milena, the rhinoplasty was planned in coordination with the temporal lift from the very beginning. The two procedures were not independent operations performed in the same session. They were designed as a single treatment plan where each component was calibrated to complement the other.

What 21 Days Post-Surgery Looks Like After Rhinoplasty and Temporal Lift

Milena's before and after photographs were taken at 21 days following surgery, a point that falls in the early-to-middle phase of recovery. By day 21, several important milestones have been reached. The nasal splint and any external sutures have been removed during the first week. Bruising around the eyes, which is common after both rhinoplasty and temporal lift procedures, has typically faded by day 10 to 14. The most dramatic swelling subsides within the first two weeks, and by day 21 the patient is generally comfortable in social and professional settings.

However, 21 days is still early in the rhinoplasty healing timeline. The nose will continue to refine for up to 12 to 18 months as residual swelling, particularly at the tip where the skin is thickest, gradually resolves. The temporal lift results are closer to their final state at this point because the tissues of the brow and midface settle more quickly than nasal skin. This means the framing effect of the browlift and midfacelift is already visible, while the rhinoplasty will continue to improve month by month.

The Advantage of a Single Recovery Period for Multiple Facial Procedures

Combining rhinoplasty with a temporal lift into one surgical session offers a significant practical benefit: a single recovery period instead of two separate ones. Patients who undergo rhinoplasty alone and then return months later for a browlift or midfacelift face two rounds of swelling, bruising, and social downtime. By combining the procedures, Milena went through one recovery that encompassed all three components. By week three, she had already passed through the most visible phase of healing for every procedure.

This approach also carries a clinical advantage. Operating on the nose and the surrounding facial framework at the same time allows Dr. Sinaci to see the immediate effect of the temporal lift on the periorbital and midface region and then calibrate the rhinoplasty accordingly. This real-time assessment is not possible when procedures are staged months apart, because the face the surgeon operates on during the second procedure has already changed from its pre-surgical baseline.

Rhinoplasty Combined With Facial Contouring Surgery in Istanbul

Patients researching rhinoplasty abroad often focus exclusively on the nose without considering how the surrounding facial structures influence their result. Milena's case is a clear example of how a holistic approach to facial surgery produces a more complete transformation. Istanbul offers international patients access to surgeons like Dr. Sinaci who have trained extensively in both rhinoplasty and facial rejuvenation techniques, including fellowship experience with world-renowned surgeon Raul Gonzalez in Brazil and advanced facial anatomy training in Bangkok. This combination of skills is essential when a treatment plan involves reshaping the nose and refining the facial framework simultaneously, ensuring that every element works together as a cohesive whole.