Do I need to get my septum straight? (photo)

Dear Rolo133,Straightening the outside of the nose begins with a septoplasty, and you may have to do additional maneuvers to get it more straightSpreader grafts placed along the bridge of the nose can help you breathe better, as well as straighten the noseFinally, if the nasal bones (at the top third of the nose) are crooked, they would also need to be straightened for a nice final resultYou are right though, it all begins with the septumBest regards,Nima Shemirani

A crooked nose almost always means the septum is crooked and needs to be straightened as part of the strategy to straighten the nose.  For a nose to be straight, a strategy of straightening the nasal structures from the inside out is the best way to approach this problem.  I would not shorten your nose, but I would make the tip transition to the bridge more elegant and blended.