What is wrong with my nose? Do I have a cleft? (Photo)

Hello and thank you for your question. Based on your photographs, you may benefit from a Rhinoplasty with tip refinement and nasal tip deprojection. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Your nose looks ok with regard to a cleft or other more unusual problem. A nasal obstruction could be caused by septal deviation, allergies, or poor support of the sides of the nose. All of that is easily determined on examination.
A perforation of your septum is unlikely unless you have a history of more serious medical issues.