Nostril shape and positioning of the nostrils can be modified with an artistically performed rhinoplasty.Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do without photos and without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of each operative procedure would not be in your best surgery. If it concerns you I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (ENT) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, M.D., FACS La Jolla, California