A rhinoplasty is a cosmetic surgery procedure that focuses on reshaping your nose.  This is done usually for one of two reasons.  You either need to improve the functioning of your nose or you want to alter the appearance of your nose.

If you are simply unhappy with the appearance of your nose, then the rhinoplasty would be considered elective cosmetic surgery.  As a result, you will be responsible for paying for the procedure yourself.  On the other hand, if you need to have a rhinoplasty because of a medical need, then your insurance company is obligated to pay for the nose surgery cost.  Obviously, if possible, it is definitely more beneficial for your surgery to be classified as medically necessary, as it will save you from having to pay for the surgery yourself.