A crooked nose is caused by trauma or is due to congenital deformities. In order to fix a crooked nose, an expert rhinoplasty surgeon must initially identify the cause of it. The following anatomical structures are contributing factors causing the nose to appear crooked: nasal bone, nasal septum, and nasal tip.nnAn open septorhinoplasty is the most effective technique to correct a crooked nose. Using this approach can straighten the crooked nose as well as improve breathing problems. In many cases, a portion of the procedure may be covered by insurance.