Can I have a closed rhinoplasty with a deviated septum? (Photo)

Yes it's possible to have a closed rhinoplasty with a deviated septum, but your photos show quite a bit of external deviation, and so I would recommend you also address the septum at the same time.

Hello and thank you for your question. Based on your
photograph, you may benefit from a septoplasty and spreader grafts to help straighten your nose.  This can be done with either open or closed technique.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Excellent cosmetic results
can be achieved with both techniques. There is not a best way to perform the
procedure. Individual surgeons have their own preferences of how to produce the
best results in their hands. What is more important than whether a closed or
open approach is utilized is the experience and artistry of the plastic surgeon
and your comfort level and confidence in that individual.
Following the advice from a
surgeon on this or any other website who proposes to tell you exactly what to
do based on limited 2 dimensional photos without examining you, physically
feeling the tissue, assessing your desired outcome, taking a full medical
history, and discussing the pros and cons of the operative procedure would not
be in your best interest. I would suggest you find a plastic surgeon with
extensive nasal surgery experience who is certified by the American Board of
Plastic Surgery and ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) that you trust and are
comfortable with. If you live outside of the United States, the surgeon should
ideally be a member of the International Society of Aesthetic Plastic Surgery
(ISAPS). You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La
Jolla, California