Nasal septal deviations are handled mainly by using two traditional surgical methods during rhinoplasty. The structural rhinoplasty surgeon usually uses submucous resection of the nasal septum, which was described more than a century ago. After the Killian incision, the mucoperichondrium is elevated. Then the septal cartilage is incised to reach and elevate the mucoperichondrium on the contralateral side. The deviated portions of the cartilaginous and bony septum are resected by leaving 1 cm of dorsal and caudal L-shaped framework. Straight fragments of cartilage and bone are reinserted between the mucoperichondrial flaps. The second most popular technique is the maxilla–premaxilla approach of Cottle. It starts with a hemitransfixion incision. After creating tunnels to expose the nasal septum, limited vertical and horizontal chondrotomies are performed while keeping most of the bony-cartilaginous framework in place. The resected segments of cartilage and bone are reinserted. The dead space is closed by quilting sutures, and packing can be applied depending on the individual case and surgeon’s preference.