Analyzing convenient methods before surgery is vital for streamlining the surgical process and optimizing efficiency. These methods may include imaging technologies or computer-assisted planning tools, which enable rapid and accurate assessments of nasal anatomy and surgical requirements. By integrating such efficient techniques into preoperative protocols, surgeons can minimize surgical time, reduce the risk of complications, and enhance overall patient satisfaction and outcomes. This chapter presents adaptive planning for primary septorhinoplasty using soft tissue cephalometric analysis (STCA). By analyzing 2D photographs just before surgery, surgeons adjust magnification, pitch, roll, and yaw to tailor surgical plans. Cases include deviated noses and combined reduction-augmentation, emphasizing autogenous tissue preparation, septal L-strut extension grafts, and long-term outcomes to optimize function and aesthetics.