Would you recommend that I get rhinoplasty without insurance?

If your nose is very twisted then a rhinoplasty and possible septoplasty would be needed to straighten your nose. Do you have any difficulty breathing through your nose?
Most insurance companies will cover the surgeon's fee, and the hospital fee to repair a broken nose. Many of the Rhinoplasties I perform have both a functional, and cosmetic component. Although insurance won't completely cover your fees, you could save thousands of dollars if you have a health insurance policy.
For subtle deviations, Injectable Fillers can be used to straighten your nose's appearance. I've attached a photo demonstrating the use of Silikon-1000 to correct a crooked nose in a male patient. You can see widening at the area of correction which is improved.
I hope this helps, and best regards.

Hi S,
If you have had a history of sinus infections and wish to have possible sinus surgery along with rhinoplasty, then a C.T. scan of your sinuses would by indicated. A CT scan is not necessary for rhinoplasty or for straightening of the nose.
Most insurance companies will not cover rhinoplasty, consequently most rhinoplasty surgery is done without insurance. In the rare instance of a complication that would require hospitalization, then you would be responsible for the hospital charges. Hopefully Pres. Obama will have an insurance plan for you to get on in the near future.
Good luck and be well.
Dr. P