Treatment of the crooked nose during rhinoplasty is challenging and requires significant planning and post-procedure care. The causes of the deviated nose are numerous and must be considered as treatment options, such as osteotomies, cartilage and bone grafts, septal repair, and correction of congenital asymmetries; all require problem-specific maneuvers, including assessing the need for and the availability of cartilage grafts, bone grafts, and composite grafts.