Septo Rhinoplasty

Septoplasty alone is usually a functional procedure

A deviated septum can contribute to nasal obstruction and can also cause the nose to be crooked.

If your goal is to have a straight nose it would be best to discuss having a rhinoplasty at the same time as the septoplasty. (Richard A. Bartlett, MD, Brookline Plastic Surgeon)

Spetoplasty is needed if you have breathing trouble. If not a simple aesthetic closed rhinoplasty can fix your problem.

Off course its not covered by insurance and you need to pay for it. (Ashok Govila, FRCS, MCh, MS, Dubai Plastic Surgeon)

Straightening the crooked nose.

Your insurance will cover any breathing surgery. Most will only cover a percent(80) of what they feel is customary.

Choose an experienced surgeon so u don’t do this twice. (Toby Mayer, MD, Beverly Hills Facial Plastic Surgeon)

Septoplasty or rhinoplasty

Straightening a nose is one of the most difficult things to accomplish in nasal surgery. It requires performing both a septoplasty and a rhinoplasty.

The septoplasty straightens the septum, the cartilage inside the nose that divides one side from the other.

Septo Rhinoplasty surgery

The rhinoplasty procedure straightens the outside of the nose. My best advise is to wait until you can have both done at the same time. (Andres Bustillo, MD, FACS, Miami Facial Plastic Surgeon)

A crooked nose is usually from a crooked seputm but a septoplasty is more about breathing

Fixing a deviated seputm from a functional and insurance point of view is correcting the inside of the nose so you can breathe better. A crooked nose, as you have is also due to a crooked septum but the top portion that is away from the breathing passages. This can certainly be straightened at the same time as a septoplasty but is considered cosmetic or a rhinoplasty by insurance companies. If you are considering both, don’t do the septum by it self then the outside later.

Septo Rhinoplasty operation

To straighten the external nose we use grafts of your own cartilage and the best source is your septum. (Steven J. Pearlman, MD, New York Facial Plastic Surgeon)

Septoplasty alone will not straighten your nose.

I agree with the other doctors. To reshape your nose, a septorhinoplasty needs to be performed, where the nose is reshaped, along with your nasal septum. (Shim Ching, MD, Honolulu Plastic Surgeon)

Combined Septo rhinoplasty Needed For Crooked Nose Correction

Septoplasty by itself will rarely completely correct a crooked nose. When a nose is crooked there is always more than just the septum that is not symmetric.

Septo Rhinoplasty can correct nose

As you have pointed out, your nasal bones are crooked and thus bony work would be needed as well. You are going to need some components used in a rhinoplasty with your septoplasty to get the best result. (Barry L. Eppley, MD, DMD, Indianapolis Plastic Surgeon)

Septoplasty alone or septo rhinoplasty?

It appears that your nasal deformity ( twisted nose ) is due to not only septal deviation, but also as a result of having assymetrical nasal structures. You definitely woud benfit from a septorhinoplasty. If there is a documented history of nasal trauma, causing difficulties in breathing, some insurance companies may consider covering the operation. (Fereydoon S. Mahjouri, MD, Minneapolis Plastic Surgeon)

Would Septoplasty Straighten my Nose?

Septo Rhinoplasty operation image

Maybe but as you state a rhino/septoplasty is the better option to do on your issues. Best to seek in person evaluations. (Darryl J. Blinski, MD, Miami Plastic Surgeon)

Septoplasty vs rhinoplasty

A septoplasty covers a crooked septum but often times it is intimately involved with the nasal bones as well, and they have to be treated often to straighten the curvature. (Steven Wallach, MD, Manhattan Plastic Surgeon)

“Crooked” is appearance; “Can’t breathe properly” is functional.

Insurance covers reconstructive surgery, which is done to restore or improve function. Cosmetic surgery is done to improve appearance, and is NOT covered by insurance.

Too many rhinoplasty surgeons years ago did “reconstructive septorhinoplasties” for “breathiing” when in reality what the patient wanted (and got their surgeon to fraudulently go along with) was cosmetic rhinoplasty that may or may not have even included septal “work” at the same operation.

Insurance companies quickly caught on, and now the cosmetic and reconstructive portions are separated, and the “cosmetic” portion is billed to the patient, along with the attendant operating room and anesthesia charges. This commonly results in total costs that FAR EXCEED what would have simply been paid for by the patient as cosmetic rhinoplasty and appropriate airway repair (septal rhinoplasty, partial turbinectomies, etc.) done at the same operative setting.

Sorry, but if you want to improve your breathing, this will be covered by insurance, and your nose may look exactly the same as it does now (yes, crooked). Most surgeons will be happy to do the septal centralization (septal rhinoplasty or submucous resection) at the hospital or surgicenter where insurance covers the septal surgery, operating room, and anesthesia charges.

Howefer, changing your nose’s appearance is considered cosmetic, and the surgeon will charge “extra” for this, and the hospital or surgicenter charges you for the “cosmetic portion” of the OR and anesthesia bills.

That’s where the HUGE unanticipated costs come in, since these bills are usually sent later. And, of course, the patient thought that their bill would be “less” since there was an insurance-reimbursable part of the whole operation.

This is the main reason I now perform rhinoplasty in my nationally-accredited office surgical facility for the total cosmetic rhinoplasty charge, and do whatever is surgically needed to maintain or improve airways at no additional cost (or reduction). I do not bill insurance and do not accept their reduced fee payment. This keeps it both honest and fair – and the cost doesn’t change, or additional bills arrive later! (Richard H. Tholen, MD, FACS, Minneapolis Plastic Surgeon)

Can I get by with an Insurance-Covered Septoplasty WITHOUT having to pay for a Rhinoplasty (Nose Job)?

Septal rhinoplasty refers to a group of procedures intended to straighten the septum and increase air flow through BOTH nasal air passages. It is considered a FUNCTIONAL or reconstructive procedure and may consist of anything where the curved portion is weakened, shifted, removed, splinted or a combination of all the obove.

A RHINOPLASTY refers to ALL the procedures in which the nose is operated upon but generally refers to cosmetic procedure. Without an examination and going only by these photographs it is hard to advise you except to say that it is always best to have one nose surgery NOT multiple ones.

It is clear that while your deviation is mild, the length of the nose could be shortened and the tip can be much better defined and maybe rotated slightly upward. You should consider waiting until you can afford both procedures and have them done by a good and artistic nose surgeon. (Peter A. Aldea, MD, Memphis Plastic Surgeon)

Nose straightening with septal rhinoplasty

The causes for your nose not being straight involve, but are not limited to your nasal septum. Your nasal septum is probably not straight, and creating a straight nose externally would probably require getting the septum straight.

However, other anatomic factors contribute to your nose being crooked, and these conditions need to also be dealt with.

To straighten your nose, you often need to graft the concave portions and reduce the convex portions (Jonathan Sykes, MD, Sacramento Facial Plastic Surgeon)