Deviated septum surgery or septoplasty can be performed at the same time as rhinoplasty. Frequently, a small amount of septal cartilage is required for rhinoplasty grafting purposes. I have always found that if you are there getting cartilage for the rhinoplasty, you may as well fix the deviated septum. In addition, a deviated septum may cause nostril asymmetry or cause the tip to move towards one side or the other. Fixing the caudal septum or end of the septum will help with this.
This is one of the reasons I feel it is important to seek a facial plastic surgeon or someone with ENT training when looking to get rhinoplasty. If septoplasty needs to be performed, your surgeon should be able to address it at the time of your rhinoplasty.
Dr. Funk performs septoplasty for deviated septum and rhinoplasty in Houston, TX.