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If I cannot breather very well through my nose and I want to get a rhinoplasty surgery, would it be considered non-cosmetic?

Could my insurance cover the cost if it impacts my nose's ability to breather well? It just so happens that i don't like the shape of my nose; could I have that fixed as well? I have a droopy, long nose with more cartilage on one side than the other.

Doctor Answers (5)

Insurance should cover surgery to help you breathe

+2

Insurance should cover the portion of a septorhinoplasty that is performed to help you breathe. Any portion of the procedure that is cosmetic in nature (making the nose smaller, shaping the tip, changing the profile) would be an out of pocket expense in addition to the insurance portion of the procedure. 


Denver Facial Plastic Surgeon
5.0 out of 5 stars 44 reviews

Insurance and rhinoplasty

+2

Depending on your insurance company, they will generally cover some or all of the functional portion of your surgery. Any cosmetic changes are billed separately. If a cosmetic change affects your breathing, it is possible that insurance may cover a portion of it. For example, fixing pinched nostrils.  I hope this helps, and I wish you the best of luck.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 35 reviews

functional nasal surgery and cosmetic rhinoplasty

+2

There are many issues inside the nose that can cause breathing problems such as a deviated septum, valve collapse, vestibular stenosis, turbinate hypertrophy, and allergies. Each one of these are treated differently with either medications or surgery. If medical management has failed, consideration for surgical management of air flow restriction can be entertained. An examination/ consultation will determine medical necessity for the above procedures. A rhinoplasty procedure is considered cosmetic and is not paid for by patient's insurance. For more information please see the link below regarding functional and cosmetic nasal surgery

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

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Rhinoplasty for breathing issues is covered by insurance but not the cosmetic part.

+2

Rhinoplasty for breathing issues is covered by insurance but not the cosmetic part. See a very experienced surgeon for the best result.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
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If I cannot breather very well through my nose and I want to get a rhinoplasty surgery, would it be considered non-cosmetic?

+2

The breathing issue may be covered by insurance.  The external nasal appearance changes will not be covered.

Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 237 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.