Revision rhinoplasty before & after photos
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Revision Rhinoplasty Cost $7,400 average cost

Who Should Foot the Bill for Revision Rhinoplasty?

About two months ago I had an open Rhinoplasty to fix a deviated septum. It seems to have fixed the problem, however my nose was supposed to be straightened but is actually worse now and more crooked than before. There is only a little swelling but even my surgeon can see how crooked it is and knows it's not the swelling.

I'm from Canada and the first surgery was covered by the government being that it was a health issue. Now my surgeon told me yesterday that the revision to fix my more crooked nose may not be covered because my septum deviation is fixed. I can see the government saying "you fixed the deviated septum and screwed something up so why should we pay for that".

If that were the case the surgeon should foot the bill I think because I was not told before hand that if something went wrong then too bad for me or that there would be a chance I can't get it fixed or I'd never have had it done. So in the end someone’s paying for it because this was something that went wrong, not something that just naturally occurred.

Asked 35 months ago by dianaincanada in Canada
Sort 3 expert answers by:
+2

This is a difficult situation

First of all, if you needed an open rhinoplasty to correct your septum, that generally indicates a severe septal problem to begin with. Without knowing exactly what was done, generally a window of the deviated cartilage and bone needs to be removed from between the mucous membrane leaves on either side of the septum. An "L" shaped strut needs to remain along the dorsum and columella for support. No surgery is complication free and you have had one. It is possible a mistake was made but... more
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Cost of revision rhinoplasty

The issue you raise is a good one. Your surgeon should have a financial policy that takes into account all possible scenarios. In general, if a surgeon messes something up so to speak they will usually fix it at no charge. If there is a healing issue that is not the surgeons fault then you will usually be required to cover the operating room and anesthesia costs. This is the model that most people in the states follow and I think it is a fair one.
Jason B. Diamond, MD
Beverly Hills Facial Plastic Surgeon
+1

Charges for Nasal Revision

Dear Diana: I am not familiar  with the Canadian, but you do raise an important question. Before the original surgery, I discuss possible charges if revisions are necessary. This will vary depending on each patient's needs and desires. Good luck fulfilling your goals.   
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
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