Is my nose hump genetics or due to deviated septum? Is my deviated spectrum causing my crooked nose? (Photo)

The internal and external nasal areas that you described and would like improved can be addressed with a nasal surgery (rhinoplasty),a septoplasty and possible turbinate surgery which are typically done at the same time. A natural appearing nose can be achieved when the procedures are performed by an artistic plastic surgeon with extensive experience in nasal surgery. A septoplasty alone will not straighten your nose.
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 a limited two dimensional photo 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 (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in
person.

Robert Singer, MD FACS

La Jolla, California

Rhinoplasty to correct a crooked nose and septum. Yes both can be corrected and the hump removed.  See a very experienced rhinoplasty surgeon who does natural noses.