Chicago Doctors

Can I Get a Nose Job for Free if I Have Been Referred to by a Doctor for my Nose?

I recently broke my nose and had to get surgery to fix it but my cartilage needs to be reconstructed so I have been referred to a cosmetic surgeon. Am I able to get a free nose job if I have already been referred to one? Will he shave down parts of my nose I dislike?

Your insurance will pay a portion of your nasal surgery for the reconstruction from trauma.  You should understand that they will not pay for all of this portion, and you should check with your insurance documents regarding your deductible and co-pay.  The cosmetic portion, to "shave down parts....I dislike" will not be covered.  You will pay for this portion along with the deductible and co-pay out of your pocket.

Ricardo Izquierdo, MD

Chicago Plastic Surgeon

Can I Elevate my Tip to Disguise my Hump Without Dorsal Rasping? (photo)

I am ok with my small hump, width of nose bridge from frontal view, nostirls & alar base.I want to change my droopy tip. It points downwards, nearly touching my upper lip when I smile.I will stay with my hump cause a rasping plus an osteotomy will cause me too much down time, cost is fine.Will a tip rotation disguise a dorsal hump to be lower? Can suture technique alone elevate my tip without cutting of cartilage and implant? What do you suggest for me? My surgeon will rasp hump & suture my tip.

From your photos, your tip will require some sort of support and/or projection, whether it be a tip graft to augment the tip and/or a columellar strut to support the tip.  Your hump will not be "disguised"  by these manuevers and may still requires some reduction.

Ricardo Izquierdo, MD

Chicago Plastic Surgeon

I Feel Like I Have a Pug Nose After Alar Reduction, Will It Improve in Time? (photo)

I had alar base reduction performed 5 days ago ( i know it' still early), and I'm still swollen. But I'm very concerned with the fact my nose now has an upturned appearance. It looks like the doctor pulled the edges of my nostrils too low, so now my tip is upturned. Can the swelling cause this? Or am I going to need to have my columula cut to make up the difference? Help!

It is so hard to tell after just five days, though the photo looks like you are off to a good start. Alar reduction alone should not cause tip rotation, so relax and let things settle.

Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD

Des Plaines Plastic Surgeon