Should a deviated septum be corrected during rhinoplasty if there are no breathing issues?

Hello and thank you for your question. It depends on how bad the septal deviation is and if your nose crooked also.  Even if you are not having breathing problems, your nose may be crooked and it would be a good idea to have a septoplasty at the same time.  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

The nasal septum is  a critical  structural component of the nose.  Even if you are not symptomatic from your deviated septum your surgeon should consider straightening it at the same time as rhinoplasty. A septoplasty  is often done to ensure you dont develop a breathing problem from the rhinoplasty procedure and to avoid any  adverse rhinoplasty outcome  such as a crooked nose.  In certain situations your nose can become more crooked post nasal hump removal if the nasal septum is not adequately straightened.