Dear DaxeUK;What I glean from your question: you assume that the correction of the deviated septum and cosmetic rhinoplasty can't be done simultaneously. That's incorrect.Frankly, the optimal time to do the rhinoplasty is along with the septoplasty, unless there's some very unusual circumstances, which would be detected at consultation. Why have two procedures when you can have both combined at the same session? The breathing portion of the operation, which generally means improving the septum and possibly even trimming the turbinates, typically is a benefit of insurance. But a pure cosmetic change of the nose is not covered. So what must be considered: if your nose has shifted because of the architectural abnormality, it's going to be important for the surgeon to literally examine all parts of the nose to determine what needs to be done. That represent the optimal opportunity to have both the desired cosmetic changes as well as the functional reconstructive changes. You need to start with some good research.Finding a good cosmetic plastic surgeon starts with a computer search of surgeons in your (or distant) areas. Best results come from super-specialists (a medical, not an advertising term) who do the procedure you want at least weekly and have done it for at least a decade. Once you narrow in on the website of a surgeon who looks good to you, focus on the before and after pictures, looking for patients who have had the procedure you want. There should be dozens and dozens of such photos. Many good, plain language cosmetic plastic surgery books are on Amazon.com or Barnes&Noble.com. As you read, write down questions that can be asked later in consultation with a surgeon. We have two such books – Secrets of a Beverly Hills Cosmetic Surgeon and The Essential Cosmetic Surgery Companion designed to help with all the nuts and bolts of cosmetic plastic surgery consultations and provide questions about both the before and after surgery experiences.The more before surgery consultations you go on, the more you’ll learn about your procedure. Prepare a list of questions beforehand and take notes as the surgeon talks. In the best practices, no interruptions should take place. And, you should be spending more time with the surgeon than with the office administrative staff. You should not feel rushed or that you are on a consultation conveyer belt. Take a friend or relative along as two brains are always better than one in gaining information and understanding. If you hear a medical term you don’t understand, ask the surgeon to explain it in plain English. Ask yourself two key questions: “Is this surgeon teaching or selling?” And, can I put my life and my face into this particular doctor’s hands? Can I trust him?” But before that do your cosmetic surgery homework. Here's the low-down on that:The homework time you spend will be more than worth it. You want to do cosmetic facial surgery right – the first time. The most critical element of the process is surgeon selection. Ideally, you want a board-certified surgeon, in either plastic surgery or head & neck surgery and fellowship trained, who is highly focused on the procedue(s) you want and who performs those procedures at least weekly. Make sure he or she has been in practice for a minimum of ten years. Websites are the key to understanding the practice. You should see at least dozens of before and after pictures, showing the changes in the procedure you want. The most helpful sites have a variety of graphics, including photos of how you might look one or five or ten days after surgery. Look for detailed explanations of all procedures. The site should answer nearly every question you have. Generally, the top practices have the thickest, richest and most informative websites. The dedicated doctor spends some serious time building an educational website for your benefit. Here is another hint: Ask the practice if you can speak with one or more patients who have had the same procedure(s) you want. See their before and after photos if possible. You learn most from walking in the shoes of those who have made the journey before. Best wishes, Robert Kotler, MD, FACS Beverly Hills, California