Is rhinophyma/bulbous tip covered by insurance? (Photo)

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. A septoplasty and breathing issues can be covered by insurance, but not strictly cosmetic issues.  Make
sure you specifically look at before and after pictures of real patients
who have had this surgery performed by your surgeon and not just a computer
animation system. The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Without in person evaluation it would be impossible to tell you whether this mass on the tip is rhinophyma or not. Surgical excision is usual treatment for rhinophyma. It this is other type of benign growth it can be removed using  hidden incisions typical for rhinoplasty.. Good luck.