In some patients orthodontic tooth movment may deliberately change lip postion. If this alteration is minor it should not influence pattern or timing of the rhinoplasty. However, if the change is major, such as in reduction of protrusive upper anterior teeth, it will alter the relationship between upper lip posture and prominence of the nose. In such a case, be certain your orthodontist and surgeon have coordinated their treatment plan so that the outcome of the rhinoplasty is in harmony with post-orthodontic lip position. They may suggest in common that the best rhinoplasty outcome will be achieved if surgery is postponed until post-orthodontic lip position can be taken into account.