Can a collapsed nasal valve corrective surgery also be included within a cosmetic Rhinoplasty?

Both aesthetic and reconstructive rhinoplasty can occur at the same time. In fact this is very common. Lateral wall reconstruction isn't as commonly combined as septoplasty with cosmetic rhinoplasty, but is needed at times. Reconstructive surgery means creating normal function and appearance starting from an abnormality or deformity, while aesthetics surgery means starting from average or normal and improving it. They are two ends of a spectrum. 

Absolutely, nasal valve surgery can be (and often should be) included in cosmetic rhinoplasty. In fact, aesthetics and functionality of the nose go hand in hand and I frequently perform nasal valve surgery in cosmetic rhinoplasty to improve nasal breathing while improving the nose aesthetically. Just because the indication of a rhinoplasty might be cosmetic does not and should not mean that the nasal valve area can be ignored. In fact, reductive rhinoplasty techniques with overly aggressive cephalic trimming can lead to supra-alar pinching with subsequent nasal obstruction over time. It is hence important to anticipate healing over the long-term and stabilize the nasal valve area in select patients, even if the surgery was 100% cosmetic. With regards to the cost, repair of nasal vestibular stenosis is usually covered by most insurance plans if the patient has documented nasal obstruction, the nasal obstruction does not improve with medications such as nasal steroids, and the nasal obstruction improves with the so-called "Cottle maneuver" where the cheeks are pulled sideways next to the nasal valve area or the inside of the nostrils are supported with Q-tips during inspiration. If these criteria are not met, nasal valve surgery (repair of nasal vestibular stenosis) is typically not covered. 

Nasal valve repair can be done simultaneously with a rhinoplasty. The valve repair however can make the valve area look swollen and you need to be aware of that. RegardsDr. J

There are many surgeons that will regularly perform this repair if needed during a cosmetic rhinoplasty.  Sometimes all that is involved for internal valve collapse is rotating cartilage in the area and placing some sutures.  Other times grafts may be needed to widen the valve area.  If it is an external valve collapse then supporting grafts along the nostril can be used to support the rim.  Consult a physician who regularly performs rhinoplasty surgery who can discuss the details further with you in person. 

Yes we commonly fix both functional and aesthetic nasal issues at the same time. Sometimes however opening the nasal valve may make the nose appear wider which may not be part of the aesthetic goals. It's important to discuss these issues with an experienced rhinoplasty surgeon. Cost is variable in Toronto may vary from $5000-$14000 for rhinoplasty.