I have a crooked nose and off-centered midline, what are my options to fix these issues? (Photo)

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for rhinoplasty with technique open with refined the tip. and elevate the tip.

The nasal areas that you described and would like improved can be addressed
with a nasal surgery (rhinoplasty) and a possible septoplasty which are
typically done at the same time. A natural appearing nose can be achieved when
the procedures are performed by an artistic plastic surgeon with extensive
experience in nasal surgery.
Keep in mind that following the advice from a surgeon on this or any other
website who proposes to tell you exactly what to do based on a limited two
dimensional photo without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of each operative procedure would not
be in your best interest. I would suggest you find a plastic surgeon certified
by the American Board of Plastic Surgery and ideally a member of the American
Society for Aesthetic Plastic Surgery (ASAPS) ) or the Canadian Society for Aesthetic Plastic Surgery (CSAPS) that you trust and are comfortable with. You should
discuss your concerns with that surgeon in
person.
Robert Singer, MD FACS
La Jolla, California
 

Thanks for your question and photos. Your concerns would definitely be able to be corrected with a rhinoplasty. Please see a qualified rhinoplasty surgeon for an assessment and recommendation.  Good luck!!