Crooked nose, sinus issues and deviated septum - Covered by insurance? (photo)

Hello! Thank you for your question.
As far as I can understand from your question It would be the most appropriate option for you to have a detailed ENT examination and consult an ENT specialist. In terms of your breath quality, my recommendation for you to solve the deviation problem as soon as possible is septorhinoplasty operation.
It would be better face to face consultation.
Best Regards!

Our practice is a third party free practice, which means that we do not accept payment from any insurance companies. That said, we do offer functional and cosmetic rhinoplasty surgery, however, we do not charge an additional fee when patients require functional correction at the time of rhinoplasty. Additionally, some facilities participate with insurance, so you may be able to get your facility fees paid for. I would strongly suggest visiting with several reputable rhinoplasty specialists who are comfortable addressing your breathing issues, nasal appearance, and chronic sinusitis. It's always best to have functional and cosmetic issues addressed at the same surgery. Wishing you well moving forward. Sincerely, Dr Joseph

Absolutely—we see this frequently. Nasal obstruction and difficulty breathing through the nose can stem from anatomic issues, inflammatory congestion, or a combination of both. Based on your photos, it appears you have significant anatomic narrowing of the nasal airway, which would likely benefit from straightening both the septum and the external nasal structure. A CT scan can help determine whether there is any underlying chronic sinus inflammation. This would clarify whether sinus surgery might be beneficial in conjunction with nasal airway surgery.
Regardless, surgery to correct a deviated septum and external nasal deviation is typically covered by insurance, as it addresses functional breathing issues. These procedures are most often performed by a facial plastic surgeon. Some patients choose to combine functional surgery with cosmetic refinements, which would involve an additional fee—but this is entirely optional!
If sinus surgery is indicated, some facial plastic surgeons are comfortable performing both components, while others may collaborate with a rhinologist or ENT colleague for the sinus portion.