Thank you for your question. "Crooked" noses are very common, and are often not the result of a deviated septum alone. Pictures only tell a part of the story. A physical exam would be needed to make definitive recommendations. Based on your photos, you will likely require a septoplasty and cartilage grafts for your tip and possibly spreader grafts. The cartilage from your septum can be used for grafting. Insurance typically covers a septoplasty for a deviated septum, and reconstructions to treat breathing issues, however, every insurance plan is different. Insurance will not cover any concerns that are cosmetic in nature. Seek consultation with a board certified plastic surgeon who has extensive experience with nasal reconstruction. Good luck!