What kind of surgery do I need for curved nose, uneven nostrils and a possible deviated septum? (Photo)

The tip and dorsum can be refined and the nose can be straightened through a
closed rhinoplasty approach without a visible scar to produce a natural
result.  The functional aspects of the nose should be addressed after an exam is performed.  Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions 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

Based on your photos-- you are a good candidate for cosmetic  rhinoplasty.However, the physical exam is necessary to assess other issues and to create a specific treatment plan.Make sure to go to a Board Certified Plastic Surgeon and see his/her Before and after pictures.

The rhinoplasty procedure can address removal of the dorsal hump, and osteotomies to straighten the nasal bones. A spreader graft composed of the patient's own cartilage will be required on the concave side. Any minor tip and nostril adjustments can be performed at the same time. The rhinoplasty procedure is considered cosmetic and must be paid for by the patient A septoplasty procedure involves removal of obstructing bone and cartilage in the back of the nose which is decreasing airflow dynamics through the nose. This must be documented for medical necessity before  it is submitted to your medical insurance. Co-pays and to deductibles will still apply. Endoscopic sinus surgery is performed for medical necessity as well, once a CAT scan of the paranasal sinuses has been performed to document chronic nasal polyps and chronic sinusitis. the procedure involved removal of polyps and opening the sinus cavities small instruments and telescopes. All 3 procedures can be performed simultaneously and are done so routinely in our practice. For more information on all he above procedures, please see the link below

It appears that your nose needs more structure.  That means that the skin size is right, maybe slightly thick at the bottom part, but if there is not enough internal structure then the nose will have the features you do not like.  This is similar to a dress that may be two sizes too big, just doesn't fit right.  An experienced board-certified plastic surgeon can consult with you to give you an individualized plan.  Good luck

The nasal areas that you described and
would like improved can be addressed with a nasal surgery (rhinoplasty) and a possible septoplasty.Keep in mind that following the advice from
a surgeon on this or any other website who proposes to tell you exactly what to do based
on  limited two dimensional photos without examining you, physically feeling
the tissue, assessing your desired outcome, taking a full medical history, and
discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified
by the American Board of Plastic Surgery and ideally a member of the American
Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic surgeon (ENT) that
you trust and are comfortable with. You should discuss your concerns with that
surgeon in person.Robert Singer, MD FACSLa Jolla, California