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Although a rhinoplasty (nose job) is generally thought of as an elective surgical procedure, the truth is that many patients have the procedure done in order to correct a medical issue. Such medical corrections usually involve excessive snoring, sleep apnea, or difficulty breathing. In some cases, this may also include correcting the shape of the nasal tip. One example of this is if the nasal tip is pinched, which may inhibit airflow through the nose. For such patients, a rhinoplasty surgery to open up the nasal tip should almost certainly be considered medically necessary.

What Causes a Pinched Nasal Tip?

A pinched nasal tip is usually a congenital deformity. In other words, the patient will have been born with it. In some cases, it can happen as the result of a previous cosmetic surgery in which too much cartilage at the nasal tip was removed in an effort to give the nose more definition, particularly if the nasal tip was bulbous or rounded. Because the resulting cartilage wall is too thin to properly support the nasal tip, it caves inward, resulting in a pinched appearance. Unfortunately, such a surgical complication cannot be determined immediately after surgery, and will usually not be evident until the bruising and swelling has subsided several weeks later.

How Can a Pinched Nasal Tip Cause Breathing Difficulties?

When the nasal tip cartilage loses integrity, it will weaken and cave inward. Because it is no longer supporting the nasal rim, the nostril opening will become blocked. This may create breathing difficulties for patients.

How Can a Pinched Nasal Tip Be Surgically Corrected?

In order to surgically correct a pinched nasal tip, the collapsed cartilage must be shored up and supported by means of a graft. This must be done because there is too little cartilage at the nasal tip, either due to genetics or because too much was removed in a previous rhinoplasty. In most cases, the graft is taken from the septal cartilage (the wall that separates the two nasal cavities). If there is not enough septal cartilage for a sufficient graft, cartilage can be taken from behind the ear.

The grafts are placed along the length of the outer nasal tip. They work as steel beams to help support the nasal tip and open up the nasal cavity. The grafts must also be long enough to reach into the stable areas to provide further structure for the nasal tip.

Will Insurance Cover the Cost for Correction of a Pinched Nasal Tip?

In cases in which there is an existing deformity to the nose that hinders breathing (such as in cases of a congenital deformity), there is a good chance that insurance will cover the cost of surgery because is it medically necessary. In cases of corrective rhinoplasties, where the surgeon is correcting for an earlier rhinoplasty, it may be uncertain as to whether or not it will be covered by insurance. Patients should discuss with their surgeons at the consultation and check with their insurance to see if such cases will be covered.

Contact Marin Aesthetics in San Diego to schedule a rhinoplasty consultation for a pinched nasal tip.

*The content in this blog is developed to spread the awareness towards plastic surgery. Our blog is not intended to serve as a replacement for an actual in-office consultation with Dr. Marin. As such, the information within this blog reflects the unique cases of our individual patients.

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TO OUR MARIN AESTHETICS PATIENTS:

In light of the state wide restrictions on non-essential businesses to help reduce the spread of COVID-19, we are rescheduling all of our elective appointments until the global circumstances improve. Our necessary post-operative appointments will be made, as needed, to address immediate surgical concerns such as suture removal and acute postoperative issues. All non-acute follow up appointments, fillers and Botox will need to be postponed until after the quarantine period mid April. Our office will reach out to all patients who need to be rescheduled.

We will be offering new patient virtual consultations online and via Skype that can be scheduled through our website or by emailing info@marinaesthetics.com. Also, we will offer follow-up appointments in the same manner to help manage our patients’ concerns while still respecting the need for social distancing.

We appreciate all of your understanding during these difficult times for all of us.

Stay safe,

Dr. Main and the Marin Aesthetics Team