Is septoplasty what I need based on my pictures (I am asking to see if insurance covers)? (Photos)

An in person and internal nasal exam would be required to determine if a septoplasty would be of benefit. There are many causes of nasal obstruction . From a cosmetic standpoint your bridge needs to be lowered snd your tip raised. Hard to know what you insurance would cover but unlikely to cover anything cosmetic.

Dear candacelynns,
if you have deviated septum which causes breathing issues, then there is a chance that insurance will cover it but the costs of rhinoplasty will not be covered. 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 recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Naturally you realize that you need a an in person examination to fully answer your questions especially regarding the septum. Rhinoletry and a good nasal speculum and perhaps fiber-optic examination will answer your intranasal breathing issues.
Having said that the ultimate procedures for your nose will include both functional and cosmetic septalplasty and Rhinoplasty. Only you and your surgeon and your insurance company can answer whether some of your required surgery will be covered by Medicare insurance.It appears likely that spreader grafts to widen your lower lateral cartilage and open up your nostrils a bit will be required.

A septoplasty is performed on the inside of the nose, which can only be diagnosed by an internal examination of the nose by your surgeon. Rhinoplasty is performed on the outside of the nose to change the shape of it and is considered cosmetic. To prevent collapse requires placement of some structural cartilage grafts. Both functional and cosmetic nasal surgery can be performed simultaneously under one anesthesia, expect to pay for any changes to the outside of your nose yourself.