Will septal extension graft (to de-rotate nose) be affected if a 3rd surgery is done to just raise the bridge height? (photo)

If you did not have turbinate work performed, you are not experiencing empty nose syndrome. Since you are having persistent discomfort, please consider meeting with your surgeon, or with a reputable otolaryngologist for an opinion. Hope this helps! Sincerely, Dr Joseph

It's not clear for me a narrative why you are requesting a skin graft to your columella. Please consider re-asking your question with photographs for a more definitive answer. I hope this helps! Sincerely, Dr Joseph

Based on your front view, you appear to have a slightly wide nasal appearance, however, in the first photograph that you posted, there is no evidence of an inverted V. Or a better opinion, kindly consider re-asking your question with oblique and profile photographs, along with it better...

The circled area in your photograph is called a nasal bossa. This is an area of cartilage that looks white, and is poking through your relatively thin nasal tip skin. Microdroplet Silikon-1000 injections maybe a welcome alternative to revision rhinoplasty surgery to correct issues like this,...

A small bump can be improved under local anesthesia, but we would have to see you first for an exam. After that, a discussion can be undertaken as to what to do. A rasping procedure is easy to do under a local anesthetic. Be sure to see a rhinoplasty expert for consultation.

If the last photo that you posted is before surgery, you have a very nice result. If you are noticing a symmetry, perhaps it's due to slight nostril asymmetry which was present before surgery. If this is what is bothering you, microdroplet Silikon-1000 nasal injections may be considered for...