The deviation of your
septum and your nasal tip can be improved with septoplasty/rhinoplasty. You can achieve increased tip
refinement with either a closed or open approach. A greater amount of
refinement is probably possible with the open approach vs. the closed.
Both approaches can give you a natural appearing, attractive nose.
The best way to achieve that is to find a surgeon experienced with rhinoplasty and spend the time to make sure your vision is in line with your
The lower 2/3s of you nose appears to deviate to the right. (To better analyze this I would have to see more standard photos and a personal consultation). It has been my observation that such deviation is frequently part of a significant septal deviation. To correct this cartilaginous deviation I usually have to do a septoplasty and then reset the middle vault of the nose. This typically requires the placement of spreader grafts, although I have done it endonasally and with the use of an autospreader technique. The trick is what follows - you may need tip work in order to align everything. One man's opinion!
If you have it corrected - then go through with what it needs to be done successfully. If you really feel it is a minor deviation - then leave it alone.
These things are hard to decide at times. Do what you are doing - get good opinions before you proceed.
Fred G. Fedok, MD FACS