What is the best approach for correcting caudal septal deviation with a tip which is asymmetric due to the deviation? (Photo)

Correcting caudal septal deviation: There are several ways to address caudal septal deviation. The goal is to place the caudal septum in the midline. This can be done with a procedure called a septoplasty. There are several technical choices. Some may involve removing a portion of the septum and moving the caudal portion and suturing it to the midline. Some may involve a combination of scoring the concave surface of the septum to reduce its curvature along with repositioning the caudal septum in the midline. In some cases a Cartilage Graft may be applied to the crooked septum to help straighten it. In some cases a caudal septal extension graft may be employed to help place the caudal most portion of the septum in the midline. Having the caudal septum in the midline is important not only for the airway, but for the appearance of the tip and also the appearance of the rest of the nose which could look quite crooked after rhinoplasty if the caudal septum is not in the midline.