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A standard septoplasty where the incisions are hidden inside the nose shouldn't affect your nose piercing if the piercing is through your outer nostril. You should confirm with your surgeon that a standard septoplasty is all that would be needed, though.
Dear mix7709, if your deviated septum is causing issues, then there is a chance that insurance will cover the cost of surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and...
For the breathing issue you might want to see an ENT surgeon. You probably would benefit from inferior turbinate reduction.
Bony septum deviation can be recognized from the X-ray, but cartilaginous deviation can not be judged with X-ray. I recommend you to visit nearby ENT surgeon to check out whether your septum is deviated or not. In this X-ray, your bony septum does not look so deviated. Thanks.
