Thank you for your question. We have been seeing quite a few of these in the office. We can usually do this procedure in the office under local anesthesia. The patient returns to the office a week later for suture removal. The costs will vary geographically. Best to see a Board Certified Plastic Surgeon or Otolaryngologist, (ENT). They will evaluate your individual situation, and together you will make a plan. The individual office may have payment plans, (i.e. CareCredit, etc.). A University Plastic Surgery Residency often will have a resident clinic. The price is usually lower there.Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery