The deviated nose ( or twisted nose) is usually caused by impact traumas in childhood or adult life. In other cases, the nose is deviated for no clear reason.
The deviated nose can be associated to a breathing problem. In these cases, the rhinoplasty plan seeks both aesthetic (correction of a deviated nose) and functional (proper breathing) goals. It is advisable that the same surgeon should solve both problems in one procedure.
It is important to take into account that the cartilage deviation is very complex to be corrected with surgery and that, sometimes, it cannot be 100% solved. There are some cases where a memory effect takes place and makes the nose look for its original position. This sort of problem calls for very specific and precise techniques to prevent this defect.