Deviated Nose Which Moves when I Speak (Only, Not when I'm Smiling) + Bump? (photo)

     The bump, the deviation, and the tip depression during animation can all be corrected with a closed rhinoplasty.  The idea of placing a cartilage graft for camouflage is not a bad idea, but that will make the nose appear wider at that point.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

  A rhinoplasty can accomplish straightening the nasal bones, and a spreader graft would augment the concave side as well. Releasing the depressor septi ligament  will prevent the tip from drooping  and moving upon animation.  A septoplasty is only performed for breathing issues if there is a deviation or deflection of the actual bone or cartilage portion of the septum.Please see the link below for examples of how we have straightened twisted noses in our practice

With the obvious deviation of your nose which is easily seen in the picture submitted you must have some obstruction of your breathing. The fact that your tip or septum moves when you speak is another indication that a septorhinoplasty would be appropriate..