Correcting a Crooked Nose: ENT or Plastic Surgery Options?

The nose is crooked?

Doctor, it seems that my nose is crooked from the bone structure, and my nasal septum is also deviated.
If I go to the hospital for correction, should I see an ENT specialist or a plastic surgeon? Will the cost exceed 30,000 NT dollars? Is there any coverage from health insurance?

Chen Tongxue, 20~29 year old female. Ask Date: 2016/12/04

Dr. Ji Zhaoyun reply Otolaryngology

Dear Student Chen,
If you are simply correcting a deviated septum or addressing a partial nasal bone fracture, this is considered a functional surgery, and health insurance typically covers it.
This procedure is usually performed by an otolaryngologist (ENT specialist).

However, if you are correcting a deviated septum or dealing with a complex nasal bone fracture that also involves sculpting the external appearance of the nose, this falls under cosmetic surgery, which generally requires out-of-pocket expenses.
The costs will vary depending on the type of surgery you need and the specific physician performing it.
Both otolaryngologists and plastic surgeons can perform these procedures.
I recommend that you seek a consultation for an examination and to discuss your needs further.
Please note that this is purely an exchange of ideas, and everything should be based on the actual assessment by the physician.
Sincerely,
Dr.
Chi Chao-Yun,
Director, Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare

Reply Date: 2016/12/04

More Info

When considering the correction of a crooked nose, it is essential to understand the underlying causes and the appropriate medical specialties involved. A crooked nose can result from various factors, including congenital deformities, trauma, or structural issues such as a deviated septum. The two primary medical specialties that address these concerns are Otolaryngology (ENT) and Plastic Surgery.

ENT vs. Plastic Surgery:
1. Otolaryngology (ENT): An ENT specialist focuses on conditions related to the ear, nose, and throat. If your crooked nose is primarily due to a deviated septum or other internal nasal structures affecting breathing, an ENT doctor would be the appropriate choice. They can perform a septoplasty, which corrects the septum, potentially improving both function and appearance.

2. Plastic Surgery: If the crookedness of your nose is more about its external appearance, such as the shape of the nasal bones or cartilage, a plastic surgeon specializing in facial aesthetics would be more suitable. They can perform rhinoplasty, which can reshape the nose for both functional and cosmetic improvements.

Costs and Insurance Coverage:
Regarding costs, the price of corrective nasal surgery can vary widely based on several factors, including the complexity of the procedure, the surgeon's experience, and the geographic location of the practice. In general, rhinoplasty can range from $3,000 to $15,000 or more. If the surgery is deemed medically necessary (for example, if it significantly impacts your breathing), some insurance plans may cover part of the costs. However, purely cosmetic procedures are typically not covered by insurance.

Consultation and Evaluation:
Before making a decision, it is advisable to schedule consultations with both an ENT specialist and a plastic surgeon. They can evaluate your specific situation, discuss your goals, and recommend the best course of action. During these consultations, inquire about the potential costs, what your insurance may cover, and the expected outcomes of the procedures.

Post-Operative Considerations:
Regardless of which procedure you choose, it is essential to consider the recovery process. Both septoplasty and rhinoplasty require some downtime, and you should be prepared for swelling and bruising. Follow-up appointments will be necessary to monitor healing and ensure that the desired results are achieved.

In summary, the choice between ENT and plastic surgery for correcting a crooked nose depends on whether the primary issue is functional (deviated septum) or cosmetic (external appearance). Costs can vary significantly, and insurance coverage may apply if the procedure is medically necessary. Consulting with both specialists will provide you with a clearer understanding of your options and the best path forward for your situation.

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