I believe that all of those procedures can be safely done in a single setting. Traditionally, rhinoplasty is considered what we call a “clean contaminated” procedure. This means that the area is sterilized before surgery, but it is traditionally contaminated with bacteria. In other words, rhinoplasty/nasal surgery is airway surgery, and the air we breathe is not sterile. When I approach these cases, I normally undertake the clean procedures first (otoplasty, temple augmentation), and then proceed with cheek augmentation via an oral approach, followed finally by rhinoplasty.