Very thin skin, septum deviated, pointed tip and one side looks different from the other side. What do you recommend? (photos)

You didn't really post a true profile view, which would be important for making a good pre-op morph to establish a goal for the operation, but your first photo does show a strongly-projecting nose. "Projecting" means that it comes out far away from your face. 
The woman in the short video that I posted with this answer had the tip of her nose de-projected a significant amount."Long" actually means something different. It means that the nose is long from top to bottom, a drooping-tip nose. You have more a "projecting" nose.As in the video, it is definitely possible to significantly bring the tip back closer to your face and make it less prominent. However, rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, requiring skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. 
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?

Thank you for your question and submitting your photographs.
The characteristics of your nasal shape and skin offer both difficulties and opportunities. 
As you have rightly mentioned, the deviation of the septum drives several elements of asymmetry:
- the contour from the front
- the difference in the semi-profiles or oblique views
- the difference in position of the nasal tip domes with the left side being lower than the right
The left nasal tip cartilage appears to be more "crumpled" under the dome and would require straightening.
The advantage that you have is that the shape of the nasal tip domes may only need changing on the left side and the right side can be used as reference.
The septal deviation would also need to be corrected.
One of the characteristics of thin nasal skin is that during surgery it behaves like thicker skin which can be deceptive. As a result, the contour of the structure under thin skin needs to be smoother than under thicker skin. 
In the beginning, after your surgery, it may look more rounded for a while and you may find this off-putting, but thin nasal skin has a tendency to settle quicker. Some patients have little swelling from the beginning making their recovery easier.

The best way to determine what specific changes will look good on your face, and what changes are surgically possible, is to do your research to find the top rhinoplasty specialists and consult with several of them in person. Good luck

Hello. Great question. Thank you for your pictures. However, a personal examination is needed to properly evaluate your mose. Please schedule a consultation with a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

As most surgeons will suggest to you, you need to see an experienced rhinoplasty surgeon in person to have a genuine and accurate assessment and recommendations.  In a general sense however, there are definitely techniques that can aesthetically reduce your over projection, correct your tip asymmetry, and correct your septal irregularities. Best wishes to you as you pursue your evaluation.

Thank you for your question.
Thin skin makes it is easier to achieve fine refinement, but it also makes irregularities more visible. I suspect that you have a significant septal deviation and you would require a thorough examination. Based on what I see, you will require an external (open) septorhinoplasty in order to make the nose straighter, improve symmetry and perform delicate surgery on lower lateral cartilages (reduce nasal projection). I would suggest that you consult with a cosmetic surgeon who is also a nose specialist and by doing so you can improve you nasal appearance and improve your nasal airflow if compromised.
Best wishes

Thank you very much for sharing your pictures.
On one side I understand very well your concern with regards to deviation, asymmetry and shape/length ogni the tip.
On the other side I feel like reassuring you because there are many very well described surgical techniques to manage successfully cases like yours, even if you have a very thin skin.
The only concern in proceeding would be if you are a smoker. If you are not, I believe you are an excellent candidate for surgery and I shall simply recommend to speak to an expert in nose surgery, who can show you plenty of before&after pictures from his own gallery.
I hope this helps.

Thin skin in the rhinoplasty is both a blessing because excellent definition can be achieved and a curse because every slight irregularity is visible. Having said that I love doing noses like yours and most experienced rhinoplasty surgeons would agree.