My nose is slanted and split at the tip? What can I do about it? (Photo)

The cleft at the center of your tip is because of your relatively thin nasal skin and prominent cartilages under.  This is fairly common anatomical variant that is frequently changed with surgery.  I would recommend finding a rhinoplasty specialist in your area who can listen to your concerns and guide you through the process of achieving the look you are hoping for.

There can be some changes to the nose that occur over time.  The skin changes, gravity has its effects and the nose can droop.  Also, the tissues can thin, including the skin and fat over the nose.  The result is that you may see some of the underlying cartilage or bone and it looks more irregular.  Many of these things can be addressed and starting with a thorough consultation with an experiences rhinoplasty surgeon will be your best first step.

Rhinoplasty for the crooked nose with bifid tip?A rhinoplasty can correct your slanted nose and straighten it which will make it more attractive and improve your breathing. Your tip can be refined and the split portion eliminated. See a very experienced rhinoplasty surgeon for this who does natural noses. 

 A closed rhinoplasty approach  can address straightening of the crooked nose. This is accomplished with osteotomies placed in the nasal bones to straighten a bridge line. Spreader grafts are placed on the concave side to straighten the mid portion of the nose. A tip rhinoplasty with suture techniques cartilage removal/ cartilage grafting can address an asymmetric tip.

The changes that concern you can be corrected with rhinoplasty surgery. You appear to have relatively thin skin and strong nasal tip cartilages. The tip can be refined and your bifid (split) tip can be improved. Start by setting up a consultation with a surgeon who focuses on rhinoplasty surgery to discuss exactly what changes can be made to your nose. Video imaging is also very helpful to see a simulation of the typical results you can expect. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Your asymmetrical and separated tip cartilages are the cause of the undesirable contour. This can be corrected with a nasal tip-plasty or a full rhinoplasty if you want other changes to your nose.