Because rhinoplasty is an elective cosmetic procedure, for the majority of people, their insurance will not cover it.  If you have a deviated septum or a serious defect that affects your breathing, you may be able to have insurance cover some of the nose job cost for this septoplasty. An injury, illness or cancer that causes you to lose part of your nose can require a reconstructive rhinoplasty, which may also be partly covered by insurance. This will require preauthorization by the insurance company and other tests or scans to verify the defect.
The anesthesiologist charges a separate fee for their services. Your doctor may use an anesthesiologist or a certified nurse anesthetist. You can either have IV sedation, which means you are heavily sedated but not asleep during the procedure, or general anesthesia. These two options carry different price tags. A nurse anesthetist typically charges a little less than an anesthesiologist. The difference between the two is that an anesthetist typically only has to complete a nursing program, while an anesthesiologist is a licensed medical doctor who went through medical school.
The results are usually permanent, aside from normal changes that come with the aging process. If you’re really not happy with your results or have breathing difficulties once your nose has healed, you may be a candidate for a revision rhinoplasty. In many cases, scar tissue is the main culprit. “The force of a scar is very strong,” says Dr. Miller. “It can pull a nose one way or another—push it in, pull it out, turn it.” When this happens, a surgeon has to go back in and tweak the work. 
After relaying to Nurse Libbie that I didn’t want it to look ‘too frozen’, she agrees to give me 10 units across my forehead, and 15 in the centre of my frown- the average dose is between 10-25 units. I lay down across the bed in her treatment room and as she preps the solution, I’m asked to frown and raise my brows. As I do so she inserts the needle, and a tiny dose of botox by Allergen is inserted across six points of my forehead and in between my eyebrows.

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