Over a long period of time, it has been generally taken that septoplasty in children is unreasonable, causing impairment in the proper development of the facial skeleton and should be therefore delayed until the patient is 16 years of age. However, numerous functional and aesthetic problems occurring in little patients continue to stimulate the search for clinical developments of rhinoseptoplasty techniques adapted to children’s age. Objective: to retrospectively analyze the use of different rhinoseptoplasty procedures in children. Subjects and methods. Over a 20-year period, a total 226 patients (127 boys and 96 girls) aged 4 to 17 years were operated on for various deformities of the external nose and/or nasal septum. The authors’ rhinoplasty techniques described in detail, including those performed in the acute phase of nasal injury, were applied. Results. The good and satisfactory functional and esthetic results of rhinoseptoplasty were comparatively assessed during a follow-up lasting 1 to 10 years. The follow-up showed that four (1.8%) patients had recurrent late postoperative nasal septal deformities due to repeated trauma. They were all successfully reoperated. Conclusion. Rhinoseptoplasty in children is needed not only to restore nasal respiratory and aesthetic functions, but also to improve the overall health of the child, his/her normal growth and development as a whole. Therefore, if there are indications, surgery must be performed, regardless of the child’s age.