Obstructive sleep apnea is a spectrum of obstruction which happens at night time. Obstruction of the nasal passages can contribute, but is usually not the cause of, obstructive sleep apnea. Correcting the nasal obstruction with a septoplasty, turbinoplasty, and possibly a rhinoplasty (in some cases) will improve the nasal breathing, and might help out with the snoring and or sleep apnea.If you are still electing to improve the appearance of your nose, the rhinoplasty will not be covered by insurance. Regardless of insurance coverage, the rhinoplasty can be performed at the same time as the other procedures. Surgery to improve sleep apnea is usually quite safe. The more mild the sleep apnea, the less chance of anesthesia problems. You should make sure that you have and experienced surgeon as well as anesthesia team. If indeed your sleep apnea is primarily due to your large tonsils, removing them well immediately improve your sleep apnea, so your recovery should be relatively uneventful from that point of view. If you are looking to have the tonsil and nasal work done at the same time, I would seek out a facial plastic surgeon ( who is also board certified in ENT) so you can have a work done by one surgeon. Otherwise, you will need to coordinate the surgery with 2 separate surgeons, or have separate operations at different times.Best wishes, MKB
