What are my options to fixing the "nasal bump" (left side in pic) and asymmetric septum/nostrils? (photos)

I have a deviated septum. Not sure how much it extends beyond the what I see in the nostril area. You can see in pics but it causes an asymmetry in my lips. Also, it appears to be causing a slight "bump" or elevation on one side of my nose. What can a plastic surgeon do to fix this? Any chance a good insurance will cover fixing then septum?

Doctor Answers 4

Rhinoplasty for cosmetic hump removal and septoplasty for breathing

A rhinoplasty is performed for cosmetic changes in the nose such as reducing the bulbous tip, adjusting nostril asymmetry, and shaving down the dorsal hump. Patients most pay for that component of the surgery themselves. A septoplasty is performed in the back of the nose for breathing difficulties known as a deviated nasal septum. A septoplasty will not change the shape of the nose. After  patients have failed medical therapy for nasal obstruction, consideration for surgical intervention can be entertained. Medical necessity must be documented prior to the surgery for  medical insurance to cover  the septoplasty component of functional breathing. Co-pays and deductibles will still apply


Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Candidate for rhinoplasty

Although your nasal tip may be deviated, your septum may not be.  If you have breathing difficulties, some insurances will pay for the functional portion of the procedure, but not the cosmetic portion.  I recommend consulting with a Board-Certified plastic surgeon who will accurately examine your nose, create a simulation that would show you what your nose could look like after surgery, and develop a plan tailored to your individual needs. Best wishes!

Nasal Bump and Deviated Septum

Your deviated septum can be straightened, your wide asymmetrical tip can be narrowed and refined, and the bump can be removed with a septorhinoplasty procedure. Most insurance companies will accept claims for the correction of functional problems caused by a deviated septum.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

What are my options to fixing the "nasal bump" (left side in pic) and asymmetric septum/nostrils?

Insurance will often, not always, cover the portion of nasal surgery to help you breathe. Any cosmetic portion of the procedure represents an additional out of pocket expense. The issues you describe with your nose are often addressed during septorhinoplasty surgery. Please seek a consultation with a rhinoplasty expert for specific advice. I hope this information is helpful for you.

Stephen Weber MD, FACS
Denver Facial Plastic Surgeon

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.