Nasal tip ptosis

does insurance cover Nasal Tip Ptosis? my nose is not to bad from a cosmetic point however i do want the tip smaller. However i noticed that i cant get as much air through my nose as i think i should, i would say that i get 40% more hair when i push my nasal tip up.

Doctor Answers 6

What Insurance Covers

Everyone's breathing improves when the tip is lifted, so just because that maneuver improves your breathing, it doesn't mean that this the correct treatment for your breathing problem.If you are having a breathing problem, see a surgical specialist who treats this type of thing. There may be turbinate enlargement, valvular collapse, or septal deviation that are present and that can be surgically corrected with insurance coverage.

Los Angeles Plastic Surgeon
4.9 out of 5 stars 12 reviews

Nasal tip ptosis and insurance

It may be difficult to get insurance coverage for nasal tip work as the tip itself is not considered a critical component of the external or internal valves which control airflow into your nose. If there is an anatomical obstruction or medical condition which is reducing your airway seen during your examination, insurance may cover that specific portion of the case. Any cosmetic portion will not be covered even if done at the same time. Prior authorization usually requires a detailed note and examination by your plastic surgeon to determine what is needed to treat your situation but also is not a guarantee that insurance will cover the procedure. Hope this helps!
Johnson C. Lee, MD Plastic Surgery

Johnson C. Lee, MD
Beverly Hills Physician
5.0 out of 5 stars 12 reviews

Tip ptosis

It is unlikely that insurance would cover elevation and support of a sagging nasal tip.  Having said that, there may be a nasal valve issue that insurance might cover.  A hybrid case where the insurance covers part and the patient pays part is probably your best scenario.  Seek a consult with someone double-boarded in ENT and Facial Plastics for a consult and have their office prepare a quote for a hybrid case, if appropriate.  Best wishes.

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 16 reviews

Nasal tip ptosis and too large

Nasal tip ptosis and enlarged shape are not considered part of medically covered procedures; BTW everybody can breathe better when their tips are elevated so that is not a maneuver used to diagnose functional breathing problems. 

Arian Mowlavi, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 65 reviews

Functional breathing surgery versus cosmetic rhinoplasty

There are many issues inside the nose that can cause functional breathing issues such as deviated septum, terminate hypertrophy, valve collapse, allergies and chronic sinusitis. Each one of these issues are treated differently with medications or surgery. Once you have failed medical management for nasal obstruction, then consider surgical intervention. Medical necessity must be documented at the time of the examination consultation in order to be able to bill medical insurance for a functional problem. Changing the shape of the nose such as a rhinoplasty is considered cosmetic which includes lifting the tip of the nose. Expect to pay for that component of the surgery yourself.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Rhinoplasty: Nasal tip ptosis and airway obstruction

Rhinoplasty is a surgery to change the shape of the nose for breathing or appearance.Nasal tip ptosis is drooping of the the tip of the nose. This is a cosmetic feature of the nose. If you notice that your breathing is better when you push the nose up, there is a chance you have a nasal valve issue. Supporting the tip may be opening your nasal valve, allowing more air into your nose.
 Improving your nasal by addressing the valve may be covered by insurance; however, changing the tip of the nose is a cosmetic procedure - not covered by insurance. I would consult with a rhinoplasty expert who can evaluate your nose and determine the level of your airway obstruction. They can also discuss potential changes to your nose that are appropriate for your face. Safety comes first.

Victor Chung, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 10 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.