My nose is becoming more crooked as I age, what are my options? (Photos)

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your photographs, you may benefit from osteotomies and spreader grafts to improve your nasal symmetry.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

In person exam is essential, and possibly other diagnostic studies to complete your evaluation. To date, there is no substitute for surgical procedure to obtain the best result. Rhinoplasty must be performed by an experienced Board Certified Plastic Surgeon with notable gallery of before and after photos, preferably through a closed technique- without a scar across the columella.

Thanks for your question and photos. You are a candidate for a septorhinoplasty to improve the appearance of your nose and straighten it. I recommend you consult with a board-certified plastic surgeon experienced in rhinoplasty who can discuss your goals, examine you, do a virtual simulation, and show before/after photographs to give you a better idea of what type of results you can expect to get. Good luck!

A closed rhinoplasty procedure can accomplish straightening the crooked nose. This involves placement of all the incisions on the inside of the nose. No external incisions are required. Osteotomies placed in the nasal bones will be required to straighten them. The spreader graft composed of the patient's own cartilage will most likely be required to be placed on the concave side as well. In our practice, patients are placed under general anesthesia  by a board-certified physician anesthesiologist for patient safety and comfort. For many examples of straightening the crooked nose with closed rhinoplasty, please see the  link and the video below

Non surgical approach would include fillers. The results are temporary. When performing nasal septal reconstruction I incorporate the FINNESSE technique, which I invented. I routinely do not pack the nose. Pain and recovery are minimal when compared to traditional techniques. It’s not uncommon for patients to take only Tylenol after surgery. I utilize a good anesthesiologist. Surgery will give a a better long lasting result. I hope you find this information useful. For more information please watch the enclosed video. 

Appears your complete nasal vault is off set. Was there any tray,a in your nasal life? Best option is surgery. But you can try non surgical rhinoplasty or HA filler rhinoplasty to see if the slight visual improvement is to your liking. fees in the $1,000 ++ ranges.