My nose tip deviates to the left, I have overall facial asymmetry. Would I need a rhinoplasty or a tipoplasty? (Photos)

Dear Mrs Dixon,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from rhinoplasty. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

We can see that your nasal tip deviates and that your sinuses appear normal. Your question about the "best option" is unanswerable since there is no profile photo. Since this is causing you dissatisfaction, it may be best to consult with several reputable rhinoplasty specialists who offer computer imaging. Hope this helps! Dr Joseph

Fixing a crooked nasal tip: it is difficult to make an accurate assessment based only on the photos you show, without a look inside the nose. However most crooked nasal tips are due to a deviation of the caudal septum. The procedure that addresses straightening of a deviated septum is a septoplasty. The procedure to refine the nasal tip is a nasal tip plasty. The procedure to refine not only the nasal tip but the entire nose is called a rhinoplasty. You may benefit from a nasal tip plasty and septoplasty or a full rhinoplasty combined with septoplasty. But once again an accurate assessment would be determined by what the appearance of the septum is on physical examination.

The indication to correct septal deviation is a septorhinoplasty to reposition the septum, besides reshaping lower alar cartilages according to your need.

Hi and welcome to our forum!
From your photos, I note nasal supratip asymmetry. As the eyes are blocked out, I cannot see the relationship of the nose to the eyes, making it difficult to determine if the nasion is midline. Assuming it is midline, the nasal dome cartilages appear to be of different shape and size, suggesting overgrowth.
The CT of the nasal septum demonstrates displacement from midline.
This can be corrected with a tip-plasty by resection of the offending cartilage segment. If the septum itself is deflected (internal nasal examination required), septoplasty may be required.
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...

If I could see your nasal bridge, I could definitely answer your septorhinoplasty need. As far as I can see from the pictures, tipplasty + septoplasty may be sufficient.