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Is it common to do a rhinoplasty with septoplasty?


I have a deviated septum that has caused a host of other problems (breathing, headaches, fatigue, hard mucus, infections inside). If I were to get a septoplasty, would it be normal to ask for reshaping? Would it most likely or less likely be covered by insurance? If not, about how much extra would it be?


 Yes, Septoplasty and Rhinoplasty are very commonly performed at the same setting. Insurance carriers are very attuned to this practice. Most will not allow a cosmetic rhinoplasty to be done at the time of a septoplasty as a covered service. If they do allow this to occur there are usually additional upfront charges for the services ( anesthesia, facility, surgeons fee, etc. ) provide for the rhinoplasty portion of the procedure. Best,


Gary R Culbertson, MD, FACS


Yes I is appropriate to perform those procedures together. It is the way I prefer to approach those patients who desire reshaping in addition to septoplasty.


Rhinoplasty & Septoplasty – It is very common to perform a rhinoplasty with septal reconstruction if there are functional problems associated with nasal airway obstruction. This is done concomitantly and should be done by the same rhinoplasty surgeon. If one is a true rhinoplasty surgeon, one has expertise in rhinoplasty and septoplasty.


An external rhinoplasty and an internal correction of the airway, including a septoplasty, are frequently performed together by good experienced rhinoplasty surgeons. The best nasal surgeons deal not only with the external aesthetics, but also with the internal function. Every insurance company’s approach to reimbursement is different. Many will pay for a portion of the septal surgery, but not the cosmetic aspect of a rhinoplasty. A full consultation with an experienced expert rhinoplasty surgeon is the first place to start and a prior authorization letter can help delineate what may or may not be covered. That can minimize the number of surprises you get with regard to reimbursement. 


Robert Singer, MD  FACS

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