Key points
*There are 4 different types of crooked nose deformities (I-type, C-type, S-type, cartilaginous) described in the literature.
*Despite all technological, anatomical and surgical advancements, correcting a crooked nose may not be possible in a significant group of patients.
*There are both functional and esthetic problems in crooked nose deformities, and achieving a successful result is possible with appropriate preoperative analysis.
* In this technique, the middle vault is preserved, the bony cap is mobilized and preserved, and the lateral nasal bones are equalized by a piezo device or classical osteotomes.
*Mobilization of the bony cap allows the dorsal septal cartilage to move freely, and this maneuver helps the correction of the middle third deviations.
*In our technique, we correct asymmetries at the lower maxillary nasal junction, such as in the Let-down approach, as well as asymmetries at the K-point, such as in the structural approach. Thus, we combine the advantages of both techniques.