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.

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

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.