Nose Jobs Covered By Insurance- Everything You Want To Know

Does insurance cover rhinoplasty? What To Do If Rhinoplasty Doesn't Get Covered By Insurance? How to get rhinoplasty covered by Insurance?

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Does Insurance Cover Nose Jobs?
Photo by Braydon Anderson / Unsplash

Rhinoplasty (RIE-no-plas-tee)/ Nose Job is a surgical procedure that alters the shape of the nose. Rhinoplasty may be performed to improve breathing, change the appearance of the nose, or both. The upper portion of the nose's structure is bone, while the lower is cartilage. Rhinoplasty can alter the bone, cartilage, skin, or all three.

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Consult your surgeon about whether rhinoplasty is right for you and what it can accomplish. Your surgeon will consider your other facial features, the skin on your nose, and what you want to change when planning Rhinoplasty.

If you are a candidate for surgery, your surgeon will create a personalized treatment plan. Insurance may cover some or all of the cost of a Nose Job.

What Are The Benefits Of Rhinoplasty?

Functional rhinoplasty helps you to breathe better and enjoy life more. Untreated, nasal obstruction can affect your quality of life. Rhinoplasty can help with:

  • Congestion
  • Mouth breathing
  • Dry mouth
  • Reduced sense of smell
  • Recurring nosebleeds
  • Chronic sinus infection
  • Headaches due to sinus pressure
  • Insomnia and fatigue
  • Sleep apnea
  • And more

What Happens After Rhinoplasty?

Rhinoplasty, generally called Nose Job, can change your nose's size, shape, or proportions. It may be done to repair deformities from an injury, correct a birth defect or improve some breathing difficulties.

What Are The Risks Of Rhinoplasty?

As with any major surgery, rhinoplasty carries risks such as:

  • Bleeding
  • Infection
  • An adverse reaction to the anaesthesia

Other possible risks specific to rhinoplasty include but are not limited to:

  • Difficulty breathing through your nose
  • Permanent numbness in and around your nose
  • The possibility of an uneven-looking nose
  • Pain, discolouration or swelling that may persist
  • Scarring
  • A hole in the septum (septal perforation)
  • A need for additional surgery

Talk to your doctor about how these risks apply to you.

How much does rhinoplasty cost?

The cost of a rhinoplasty depends on several factors, including the complexity of the surgery, the surgeon's training and experience, and geography.

Does Insurance Cover Nose Jobs?

Rhinoplasty for cosmetic purposes will not be covered by insurance. However, rhinoplasty to correct functional issues, also known as functional rhinoplasty or septoplasty, may be partially or entirely covered.

Functional rhinoplasty (repair of the inner structures of the nose and creation of unrestricted airflow) is for patients born with a deviated septum or an excessively narrow nose who have had nasal trauma from an accident or sports injury or have other functional defects.

Functional rhinoplasty is not cosmetic surgery because it is performed to correct a medical problem with your nose. Although functional rhinoplasty does not always result in visible changes to the appearance of your nose, the nasal contours can be changed to a more appealing shape if desired.

Discuss your surgical goals with a skilled plastic surgeon, preferably with reconstructive experience. This will help you achieve positive results by improving your breathing and the shape of your nose.

How to get a Rhinoplasty covered by insurance?

Always check with your health insurer before you make any assumptions regarding coverage. In many cases, the lines of what is considered medically necessary can be challenging to determine.

What To Do If Rhinoplasty Doesn't Get Covered By Insurance?

If you are unable to obtain coverage through your health insurance or are concerned about managing costs for your portion of the payment, you could consider the following potential options:

Credit Card

If you have a credit card with a low-interest rate, you could consider this an option for your rhinoplasty costs. Some plastic surgeons accept credit cards specifically marketed/intended for medical or cosmetic care.

FSA (Flexible Spending Accounts)

If your employer offers a flexible spending account, you may be allowed to use this pre-tax savings account to pay some or all of your costs for rhinoplasty. Check with your plan administrator about the rules for your plan.

HSA (Health Savings Account)

These savings accounts are part of specific high-deductible health insurance plans or catastrophic coverage plans. Plan participants use their pre-tax health savings account to pay for medical care until they reach their high deductible.

Medically necessary portions of your surgery may qualify. Check with your plan administrator about rules.

Frequently Asked Questions

How is rhinoplasty different from septoplasty?

Rhinoplasty is a nose surgery that alters the shape of the nose. Because breathing and the shape of the nose are linked, rhinoplasty may be performed not only to change the nose's appearance but also to improve breathing through the nose.

Septoplasty is a surgery that straightens the wall inside the nose that divides the nasal passages into a right and a left side (nasal septum). When the septum is crooked, breathing through the nose can be difficult. A septoplasty is frequently performed in conjunction with a rhinoplasty.

Is rhinoplasty a simple operation?

No. rhinoplasty is a complex procedure, and this is due to several factors. First, the nose is a complex 3D shape located in the centre of the face. Rhinoplasty frequently results in minor changes.

However, these modifications can significantly impact how the nose looks and functions. Because these changes are minor, the margin for error is small.

During surgery, swelling and local anaesthetic injection into the skin distort the nose, masking many of the subtle changes made. Rhinoplasty also lacks a standard plan or set sequence of steps, and doctors tailor each operation to the patient's specific needs.

Will I need to stay in the hospital?

Nearly everyone with rhinoplasty can safely leave the hospital the same day after surgery. In rare cases, you may stay in the hospital for one night if you're having a hard time with nausea or have other health problems that need to be monitored.

Can I see what my nose might look like after surgery?

Yes. Before your consultation, your doctor will take standardized photographs of multiple views of your face. These photos can be manipulated to give you an idea of what your nose might look like after surgery.

How long is the recovery period?

Make plans to take a week off from work, school, or other responsibilities. You will gradually feel better during the first week, and people usually feel like themselves again one week after surgery.

There will be some swelling after surgery. Although most people stop noticing the swelling after a couple of months, it can take months to resolve. Most people can resume most activities after a week, and all activities are usually resumed after two to four weeks.

What should I look for in a surgeon?

Most rhinoplasties are performed by plastic surgeons, facial plastic surgeons, or otolaryngologists (ENT). An excellent place to start is training and board certification in one of these specialities. You should look for a surgeon who frequently performs rhinoplasty.

You should look for a surgeon who has a good reputation among patients and other doctors. Suppose your surgeon has published numerous papers in medical journals about rhinoplasty and invited you to speak at educational conferences. In that case, this is usually an indication that their peers value their expertise in rhinoplasty.