I have a deviated septum with a bone spur and a hump. Will septoplasty resolve both of these issues? (Photo)

Question

I’ve attached my Scan so you guys can see what I’m talking about. Also, will insurance companies usually approve septorhinoplasty? Or just the fix of septum and bone spur? I have Kaiser insurance. I suffer from migraines for 17 years almost daily and I know this has to contribute to them. I want only one surgery done so I want to make sure I can possibly do everything at one time.

Richard W. Westreich, MD · Answer

Generally speaking, insurance companies only cover functional issues, which include a deviated septum, nasal valve collapse, or nasal fracture. When they discuss septorhinoplasty coverage, that is what they are referring to. A dorsal hump is not one of these and is considered cosmetic. Fortunately, your insurance company will still cover the other things, which will significantly reduce your cost.

Metin Kerem, MD · Answer

Dear Prettyeyes,
Clinically, the best option is to perform cosmetic and functional nasal surgeries together. However, insurance companies generally don’t cover a septo-rhinoplasty. Some of my patients travelling from european countries have been able to charge a fraction of such a surgical procedure to their insurance companies, but some other have failed to do so. My advice to you is, being ready to pay for a full septo-rhinoplasty procedure yourself, as it is not generally covered.

Andrew Miller, MD · Answer

In general, insurance will pay for everything on the inside, but not for a bump on the outside. If you are thinking of doing both, then it is always best to do them together. Be sure to see a rhinoplasty expert for the bump though.

James Shire, MD · Answer

A septoplasty will correct the septum and can remove the spurring. This is inside the nose and does not address the outside shape. To treat both the septum and the hump (outside appearance) requires a septorhinoplasty. Insurance will not cover the hump correction, but check with your insurance provider first because all plans differ. Be sure to consult an experienced rhinoplasy expert to discuss your options. Best of luck!

Suleyman Tas, MD, FEBOPRAS · Answer

Hi,Thank you for your question, septum straightening is addressed to Septoplasty, which fixes the inside of nose,Reshaping the nose, reconstructioning of the proportion and  with fixing the septum can be both achieved by Septorhinoplasty, by Closed and Atraumatic Technique your healing will be maximal, tissue damage will be  minimal.Best Regards,

Thomas A. Lamperti, MD · Answer

A septoplasty only addresses the inside of your nose and serves to make the septum straighter. It won't change your bridge bump.It is possible to do a rhinoplasty (not covered by insurance) at the same time as septoplasty in order to address your bridge bump.You can learn more about bridge hump reduction at my web reference link below.

Michael Kulick, MD, DDS · Answer

Your insurance company will let you know if they will cover your compete procedure. In general, migraines are not caused by a deviated septum or or boomer crest. So, do not be surprised if you still have such headaches if you have true migraines. The link blow will provided you examples of both type of nasal procedures. 
The best advice is to seek out a consultation with a board certified plastic surgeon. 
Best, Dr. K

Ronald J. Edelson, MD · Answer

it is pretty obvious that you have septal spur and possibly symptoms related to that.  If you are with Kaiser it is anyone’s guess as to whether they would approve the rhinoplasty portion of the surgery since it will probably be seen as cosmetic.  Furthermore you won’t know if the surgeon is good at noses or not.  Since they work at Kaiser they may not do many cosmetic rhinoplasties.  Just some things to think about as you go through the process.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your CT scan, you may benefit from a septoplasty. Most insurance providers cover this surgery. 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. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. I recommend that you seek consultation with a qualified board-certified plastic surgeon or facial plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Tom D. Wang, MD, FACS · Answer

Hi there, thanks for your question. A septoplasty can help straighten a deviated septum and improve nasal breathing. However, it does not help reduce a dorsal hump as this is usually considered a cosmetic maneuver and not related to function or breathing. Hope this helps to clarify options to improve your nose.

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