How would you change my nose? (Photo)

The nose is in balance with your chin. In your case, your chin is rather weak. You would benefit rhinoplasty to take down the dorsal hump as well as a chin implant done at the same time.

Best Wishes,

Gary Horndeski, M.D.

Hello and thank you for your question. It sounds like your concerns are the dorsal hump, breathing issues, and the shape of your nose. Addressing the dorsal hump and the shape of the nose (particularly the nasal tip) are 2 of the most common reasons people seek out and undergo a rhinoplasty. Many people complain that their nasal tip is too "bulbous" or "boxy" or just poorly defined, and that they would like it to be smaller, cuter, more defined, or more feminine. An open septorhinoplasty can best address the entire nose, and is particularly effective for addressing all the issues you are concerned with.
In addition to addressing your aesthetic concerns, your septal cartilage would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for either structural support or to help open up your airways (as in your right internal nasal valve, which has likely collapsed during your prior trauma, resulting in your breathing difficulties on that side). The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look.
Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. That said, I would recommend only going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible.
Regarding the anesthesia, my personal preference is similar to most- full general anesthesia to assure the most controlled environment and facilitate the best possible aesthetic results for such a complex procedure. Everything ultimately comes down to surgeon and patient preference, so always have the conversation with your surgeon so you both know exactly what to expect, and so you both feel comfortable with how the procedure will be performed prior to proceeding.
Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos provided. I recommend for you to come see me or another plastic surgeon comfortable with rhinoplasty procedures for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

Hello! Thank you for your question.As far as I can see from your photo. For get rid of this image and also breathing problem I recommend you Rhinoplasty surgery.It would be more convenient to decide with face-to-face consultation. Best regards!