The fact that you have medical issues leads me to the opinion that you should not care what anyone thinks! I had a breast reduction done in 2006 for breathing and back issues, and it was medically necessary and although I was large and lovely, I'm happy with my more petite chest. A nose job in itself is an esteem booster as long as it is done right, so I'd say go for it, and be happy with your choice, and make sure you check your doctor's background, to make sure that he or she is well trained in the field and well respected.
PS: I just looked at your picture, and I think you have a pretty nose, but as I said, if it's in your best interest, go for it.
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