A rhinoplasty can be performed at the same time as a broken nose repair if a cosmetic change is desired. Typically, any cosmetic surgery seattleis billed directly to the patient, and any functional or reconstructive surgery is billed to the patient’s healthcare insurance. A fractured nose typically makes the nose look crooked both in the cartilaginous and bony compartments whereby the nose bones are fractured, and sometimes a spreader graft of structural cartilage will have to be performed to widen a pinched upper lateral cartilage. Revision rhinoplasty surgeries are also performed at The Seattle Rhinoplasty Center on a frequent basis for complications arising from previous surgery done elsewhere.