Can I make changes? (Photo)

Thank you for your question. You are an excellent candidate for rhinoplasty. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery, and I have almost never seen keloid scarring from rhinoplasty. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you

You are a person of few words! But, based on the photos you have a few things that can be improved.
(1) your nose twists and deviates to the right it seems. (2) you have a curvature (hump) on top of your nose. (3) you have a narrow and pinched nose which is almost certainly obstructing your breathing.

Yes, all of this can be addressed with a rhinoplasty. We should be able to straighten, smooth, and unblock your nose. Expect one week with a splint on top of the nose and about 2 weeks until you like the appearance.