After having performed several thousand successful rhinoplasties, mostly closed, I would tell you, the nasal areas that you described and would like improved can be addressed with an artistically performed natural appearing nasal surgery (rhinoplasty) through either a closed or open surgical approach. Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do based on limited two dimensional photos without examining you, physically feeling the 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 interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic surgeon that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California