ABSTRACT Background: The crooked nose is unquestionably the most severe deformity of the nasal septum due to the simultaneous involvement of very important functional and aesthetic element. Subjects and Methods: A prospective study was conducted including twenty four patients, to who suffers crocked nose. Parameters used for evaluation were taken intraoperative, one week and three months postoperatively. Results: combination of both techniques; anatomical repair and camouflage was reliable and gives more satisfactory result, however; Must of morbidity comes from lateral osteotomies in forms of asymmetrical of nasal bone prolonged edema more than three months , excessive narrowing of the nose, hematoma and ecchymosis, residual nasal deviation and residual functional obstruction , inverted v incision deformity, slight lateral depression, late cartilage graft resorbtion , and fat absorption after grafting, lacrimal system injury. Conclusion: This study revealed that the anatomical correction combined with camouflage technique is safe and reliable for management of crooked nose, it is gives good results for patient and solutions to aesthetic problems and functional too , the combination of both techniques gives better results without adding any significant complications, and fat grafting is better to do first to cases who is need revision rhinoplasty.