Deviated nose correction, a challenging procedure, requires a strategic approach to achieve better results.The Plan-Do-Check-Act (PDCA) cycle can be adapted as a strategy.Three-dimensional (3D) scans and computer simulations enhance planning.Anterior septal reconstruction and support with titanium miniplates are helpful in correcting nasal and septal deviation correction.During surgery, checking with a customized 3D printing rhinoplasty guide is essential for realizing the simulated nose shape.A detailed assessment of nose shape and subjective evaluation of patient satisfaction are necessary during the follow-up period for continuous improvement.