When I smile my nose seems to slant towards one side when I am not smiling, my nostril is slanted, the tip is too round? Options

Thank you for your questions and the photos.

A septoplasty alone will not correct a deviated nose but would need to be combined with an aesthetic rhinoplasty to address all of your concerns.  A face to face consultation should be arranged for examination of the internal and external structures of the nose.  Simulation photos are also a good communication tool to discuss your likes and dislikes and allows you to view potential changes to the nose while keeping in balance with your face shape. Best of luck to you on your journey forward!

Hello, thank your your question and photos, issues that addressed to functionality can be fixed by undergoing a Septoplasty and for altering shape of nose can be addressed to rhinoplasty, together both functional and cosmetical issues can be improved together by undergoing Septorhinoplasty.By Closed and Atraumatic technique you will be provided maximal healing, minimal edema&swelling and tissue damage and a scar across your columella will be prevented.Regards,

Dear Nandinemak, A septoplasty alone would not address your concerns with the aesthetic issues with your nose. A septorhinoplasty is a combined procedure which will address both the function and the aesthetics of the nose. You are an excellent candidate for septorhinoplasty surgery and this will help balance your facial aesthetics nicely. I do not see any concerns with your jaw or cheekbones. Your nose is crooked and needs refining and reshaping to allow a more feminine appearance. Seek consultations aided with digital imaging to show you the proposed results that surgery would provide for you. Then review the surgeons before and after photographs to ensure expertise. See examples in the link below and the imaging process in the video attached. Best regards, Michael V. Elam, M.D.