I am sorry to hear about the septal perforation and difficulty breathing. Depending on the extent of the reconstruction, it is likely that you can have both procedures performed during the same setting to minimize downtime and recovery. I would seek a surgeon experienced in both cosmetic rhinoplasty and septal perforation repair. Make some phone calls to potential surgeons because not all plastic surgeons perform septal perforation repair. You may need cartilage grafts or a fascia graft depending on the size of the perforation and extent of the revision surgery. Good luck.
Based on your description, you would be a candidate for earlobe repair/reduction. This is a simple procedure which can be performed in the office with only local anesthesia. The redundant or stretched skin of the ear lobe is excised and the lobe is sutured together creating a smaller, more natural appearance. The piercing site can be incorporated in the incision if the piercing site is elongated to correct this as well. I typically wait 6 weeks before re-piercing the ear. Cost varies based on physician and extent of surgery. I would estimate between $500 - $1000.
Cosmetic rhinoplasty is not covered by insurance. However, if there are functional issues such as difficulty breathing through your nose as a result of a deviated septum or nasal valve collapse, then those portions of the procedure may be covered by insurance. Depending on your insurance, you would then only be responsible to pay for the cosmetic portion of the procedure, including the anesthesia and facility time.
The cost of rhinoplasty depends on multiple factors and can vary based on location, physician, facility and more. It also depends on if the procedure is purely cosmetic or if there is any functional component to the procedure which may be covered by insurance. When it comes to facility and anesthesia fees, this is based on time. Thus, if the rhinoplasty is straight forward or less involved (taking down a hump only) then the time it takes to complete will be less and thus less expensive overall. If the rhinoplasty is a revision, requires significant amount of grafting or other time consuming techniques, then the cost may be more. Different anesthesia groups and facilities also charge different rates. What I would recommended first is you first find a plastic surgeon who is experienced, reputable and one that you are comfortable with. Look at before and after photos to get an idea of their work. This is probably the most important consideration. Once you have established one, or even a few surgeons, that you like, set up consultations to discuss your goals of the procedure with them. Each physician should be upfront and give you a quote with their physician fee and estimated anesthesia and facility fee based on how long the procedure will take to complete. Hope this helps and good luck.
A brow lift is intended to reposition the brow to a higher, more aesthetically balanced position on the forehead. In females, this is above the superior orbital rim. It also improves the horizontal rhytids (wrinkles) on your forehead as well. Your brow height appears adequate in the photos without braids but if you like the appearance of the elevated brow and smooth forehead then a brow lift is an option for you. There are different techniques for brow lifting and your surgeon will go over what is best for you. I would recommend a consultation to go over your options. Good luck.
