I think that if you talk with your surgeon, explain your budget scenario, and tell him how it is a fact that fixing this issue cosmetically would also fix the problem internally (popping the cartilage outward/supporting it with grafts would both give a functional and cosmetic positive), then he may say that it is worth submitting it to insurence and even back you up.
You could even tell him/tell your insurence you bumped your nose some months out of the last surgery - since fractured cartilages are a internal problem that insurence should be more willing to cover, then you probably could even center this repair around an "accident" that happened (and that "accident" could be something as small as anything - even bumping the nose on a table or such.) I'm not saying you were involved in an accident, I'm just saying you could stretch the truth. Fractured cartilages are repaired the same way no matter if it was an injury or previous doctor that caused it, and once your new surgeon's inside your nose, he's should do what's truly needed no matter what was said in consult or what diagnosis was submitted to insurence. Of coarse, NEVER lie about having previous surgery, always be honest about what a previous surgeon caused or did, but external/internal problems could *cough cough* have only appeared after an "accident" *wink wink* during the healing time. You don't exactly have to blame it on your past surgeon word for word, though never leave out the facts of what he did.
The insurence company may require any medical records from any "accidents" though, so I'm not sure, they may not have any sympathy for the a "I fractured my nose bumping a door and I never went to get it checked out." excuse, if you opt to bend the truth.
And basically, yeah, I am saying stretch the truth/talk your surgeon into stretching the truth because for years, I have been on a rampage and gathering studies that show cosmetic deformities that cause noticeable appearance and even slight functional problems affect patients to the point they loose jobs, loose sleep, get sick, get depressed, and even commit suicide over the issues. Our government and most insurence policies don't even pay for therapy for dealing with defects, much less pay for the defects themselves, but I'm hoping to change all that as I am building a name for myself in many respected fields - but this type of change won't happen for at least another 20 years, so in the meantime, get what you deserve out of your insurence company!
But $3,000 out of pocket (without insurence) seems incredibly low for a revision rhinoplasty - most revision rhinoplasties that involve cartilage repair are at least $9,000 (though your surgeon may be knocking down the price if it's a small area.) Just make sure you're not going to a behind the junkyard plastic surgeron, and make sure he's qualified to do revisions and belongs to the ABPS. $3,000 is just the cheapest rhinoplasty I've ever heard of in my life.
Last edited by TRC; 05-06-2011 at 06:09 PM.