A "hooked" nose can be realistically improved with a rhinoplasty through a closed or open approach. Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do based on a limited two dimensional photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best surgery. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. There are no good non-surgical options to correct a nose with your particular anatomy. Robert Singer, M.D., FACS La Jolla, California