Nose shadow - is my nose crooked/deviated? Would surgery fix this? (Photo)

Hello and thank you for your question! Based on the photo you provided it does seem that that there is a small deformity/deviation of the nasal dorsum. A procedure including a lateral nasal wall graft may help to fix this issue, but as always it is best to seek an in-office consult of a plastic and reconstructive surgeon to best evaluate what procedures and techniques would work best for you and your aesthetic goals. Hope this helps!

You have asymmetry of the domal/lower lateral cartilages, with one side more prominent. Surgery would correct this by reducing the concerning side and ensuring symmetry of the tip.

From this photo it does appear that the dorsal aesthetic lines are not as straight as they could be. This is usually due to deviated septum and/or nasal bone or upper lateral cartilage discrepancies. These would all be best addressed with a rhinoplasty in my professional opinion. Any official recommendations would need more evaluation prior to providing them.