The crooked nose can broadly be due to 2 main causes, congenital or developmental (that is the patient was born with a crooked nose) or acquired (usually as a result of an old injury to the nose). The crooked nose is an aesthetic as well as a functional problem. Aesthetically the crooked nose perturbs the balance of the midface, bringing unwanted attention of the observer to the nose, detracting from other facial features. Once corrected, this balance is restored and a profound improvement of the overall facial aesthetics can be achieved. As importantly is the functional aspect of the nose. The crooked nose often results in partial blockage of the nasal passages, causing significant patient discomfort and difficulty breathing.