Now as for Provincial or Federal Government financial assistance coverage don't expect a Plastic Surgeon to even help you apply. I had asked one Plastic Surgeon who is considered the best rhinoplasty surgeons in my city to see if I could get provincial health coverage to help cover nominal amount towards the surgery I need, (since he and no one else in the province could correct the problem with my nose). He ended up giving me the run around. First he told me it wasn't going to be much money and then recommended that I should ask an e.n.t doctor. I think he was afraid his reputation would look bad, to admit to the government that he couldn't do the surgery which meant I would need to seek out a more qualified specialist. He agreed with me I should pursue finding a surgeon out of the country who specializes in revision nose surgery yet was still unwilling to be of any help. He couldn't even recommend a U.S. surgeon. In Canada, If you need to have surgery outside of the country you will not be eligible for any reimbursement, without a surgeon's referral stating that the level of care or procedure you need is not available in Canada. In my case, I already had 2 major revisions, which made my problems worse and one of the surgeons was considered a top nose revision surgeon in all of Canada. So I need a highly skilled nose revision surgeon, like those in the United States, to correct my breathing issue's. This is a terribly unfair situation considering revision nose surgery for nasal valve collapse can cost upwards of $25,000 U.S. by a reputable experienced surgeon. The cost for empty nose syndrome surgery exceeds $10,000. There's also the cost's of travel, hotel stay (you can't travel for 7-10 days after nose surgery) supervision by nurse for a day (if unaccompanied for the surgery), medication and food. If that isn't bad enough, some surgeons don't even offer financial payment plans. In these situations the person who needs the surgery may not be able to afford it.
Many ent's who aren't familiar with nasal valve collapse don't understand why you need to go out of the country for the surgery. Many don't realize the complexity of the surgery, with regards to proper nose grafting procedures and the expertise and experience that a surgeon needs to perform such complex revision nose surgery's with consistent successful results.
Nose revision surgeons in Canada, should also become active in recommending that the health care system cover a larger amount then the minuscule amount being offered now towards the revision surgical costs. An amount that is at least PROPORTIONAL to the SURGICAL TIME needed to correct the FUNCTION of the nose. We pay into the system through our taxes. We should expect equal and fair compensation like other surgery's would receive, especially when considering the fact that a nose surgeon within our own country was responsible for these breathing problems in the first place.
There are also no set rules in how facial plastic surgeons (in general) divide up the fee's between the cosmetic and functional components. The nose revision surgeon arbitrarily decides what that breakdown will be. The portion the Government or Insurance company's covers (if you had prior nose surgery it may be very difficult to get any Insurance coverage) is the functional portion claimed and the usually much larger balance not covered is the cosmetic component. If you don't have insurance or not able to qualify for it, and have the surgery in Canada as a citizen, the provincial health care portion claimed by the surgeon is considered the functional component which is negligible.
Many nose patients are unaware of these serious potential side effect before the surgery, and when it occurs, more often then not, the nose surgeon can't or will not correct the problem. The patient is now, not only out of pocket from the first surgery but has to pay out of pocket for the revision. Worse, like in my case, when you don't have a successful secondary surgery you are further out of pocket and the more nose surgery's you have, the higher the price a Nose Revision Specialist will charge you for another corrective procedure.