To the patient seeking correction of a twisted nose, it is as important to obtain a good shape as it is to achieve normal breathing. The functional problem must be solved regardless of the extent of the resection required. The plastic surgeon may choose among many techniques, some of which have been elucidated. Our preferred approach has been described in detail. We reiterate that experience has shown that a deviated septum which requires stabilization after surgery will recur to a greater or lesser degree at a later date. A twisted nose, to be permanently corrected, should maintain its corrected position without external support at the end of the operation.