The crooked nose is addressed with a combination of osteotomies to the nasal bones and a spreader graft placed under a concave upper lateral cartilage. Releasing the depressor septi ligament will prevent the tip from drooping upon smiling and animation. Any other adjustments to the tip can be accomplished at the same time. For many examples of closed rhinoplasty, please see the link below to our rhinoplasty Photo Gallery
You are an excellent candidate for rhinoplasty. The photos you show suggest that your nose is quite long and likely a bit over-projected. These are correctable issues. Regarding who does your surgery, seek an experienced surgeon who performs a lot of rhinoplasties---the specialty and board certification are secondary issues.
A closed rhinoplasty can be used to elevate and deproject the tip and refine the bridge.
Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA
My recommendation is to get a consultation with a fully trained and experienced plastic surgeon. Don't feel like the Lone Ranger as I am sure that your surgeon has probably seen and operated on a nose that is stranger than yours.