No one ever "needs" a rhinoplasty, which would be the appropriate cosmetic procedure to cosmetically improve your nasal appearance. It is an elective procedure and only you can determine if your nasal features concern you enough to do something about improving the cosmetic appearance of your nose and whether it would worthwhile. Following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited 2 dimensional photos without examiningyou, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the operative procedure would not be in your best interest. I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (ENT) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person as well as any other possible reasons for your insecurity which isn't always corrected with a surgical procedure.. Additional information about the procedure will help you decide if it is a procedure that you want to pursue. Robert Singer, MD FACS La Jolla, California