My nose points slightly to the left. Can this be straighten with a closed Rhinoplasty surgery?

Closed rhinoplasty can deal with asymmetry just as well as open rhinoplasty.  You need to find a surgeon who is experienced with closed rhinoplasty.  With either open or closed rhinoplasty, if you have pre-existing asymmetry, it can be difficult to straighten completely.

You will probably find surgeons who recommend an open/ external rhinoplasty for all patients. However, for most cases of nasal dorsal reduction and osteotomies to straighten the nose, a closed approach is adequate. Typically, I will recommend an open approach only for patients who require significant tip modification or for revision surgery. I hope this answer is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

  A closed rhinoplasty can address those issues as well as an open rhinoplasty.Kenneth Hughes, MDLos Angeles, CA

Many of the things that can be addressed with an open rhinoplasty can also be addressed with a closed approach.  There are many factors that can contribute to a crooked nose, and you need to be examined by a rhinoplasty surgeon to assess your individual concerns to come up with the best treatment approach.  You will be best served by a facial plastic surgeon or plastic surgeon who focuses on nasal surgery. 

Asymmetry of the nose, as it sits on the face, is a very common concern in rhinoplasty patients--you are not alone!What you should know is that the experience of the surgeon is probably more important than the technique used.  Furthermore, the asymmetry of the nose is often not *completely* corrected, despite the experience of the surgeon.  The reason for this is complicated, and would vary from patient to patient . However, some improvement is often possible.  An experience, honest surgeon would give you a fair assessment based on your specific anatomy, and that comes only with personal consultation.Best,Dr. Most

 It is possible to repair a  crooked nose with closed rhinoplasty. Depending upon what is causing the crooked nose, there are multiple techniques available to straighten the crooked nose. The techniques usually involve osteotomies of the nasal bones to straighten crooked and fractured bones, a spreader graft placed on the concave upper lateral cartilage  for a crooked mid vault area and a tip rhinoplasty for a crooked tip. For many examples of crooked nose repair in our  practice with closed rhinoplasty, please see the link below

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 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) or a facial plastic surgeon that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.Robert
Singer, MD FACSLa Jolla, California

There is absolutely no reason why your nose cannot be fixed via a closed approach no matter what the problemDr Corbin

Yes, I believe you can have the subtle bump and crookedness of your nose revised through a closed rhinoplasty.  Your description is achievable.

Dear Carnbarn, The approach used in surgery often depends on the surgeon and what he/she is comfortable with to make sure the patient has the desired outcome they want. The technique used is not as important as the expertise of the surgeon. Best regards, Michael V. Elam, M.D.