Hi @DerekR. Thank you for sharing your photos. I recommend seeing an expert rhinoplasty specialist for an in person examination. There are options for you that can be determined after examination.
Best of luck,
Dr. Nima
Perioperative risks are known to increase with increasing BMI. Whilst your circumstances should of course be assessed on an individual basis, in general terms surgical and anaesthetic risks should be reduced/eliminated as far as possible when contemplating elective aesthetic surgery. With that...