Hello and thank you for your question. If your septum is deviated and/or your have some other internal structural problem in your nose that causes breathing difficulty like an internal nasal valve collapse (which can be diagnosed by your plastic surgeon), then your "functional" rhinoplasty CAN be covered by insurance, but please note that this will not address any cosmetic concerns. If you want your nose to actually "look different", then this becomes a "cosmetic" rhinoplasty and that portion of the surgery that involves improving your nasal appearance will NOT be covered by insurance. If you are interested in cosmetic changes to your nose, the next step for you is to find the right aesthetic plastic surgeon. In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome. After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you. For more information on rhinoplasty, please refer to my link below. Good luck. Mark K Markarian, MD, MSPH, FACS Harvard-trained Board Certified Aesthetic Plastic Surgeon