I have viewed your previous posts' photos, however new updated pics might be necessary for better assessment.Seems from the pics you suffer a series of technical issues requiring a full nasal revision:-open roof deformity + inverted V deformity + middle vault pinching: needing correct and meticulous infracturing and spreader grafts-sunken dorsum or saddle nose deformity + polly beak deformity: requiring meticulous dorsal rebuild and supratip lowering-complex and non classificable tip deformity (bossing, knuckling, alar rim retraction, tip collapse, nasal pinching, etc) with likely presence of massive fibrosis and cartilages damage: needs debridement, intraoperative assessment and suitable repairs, likely full alar cartilage replacement + tip reprojection-other issues as per intraop finding and their correction strategySeek the advice and hands of a serious professional who offers to you a time-consuming and expensive procedure; stay far from minimally invassive snake-charming procedures, synthetic implants, fillers, wrapped diced cartilage, etc. Difficulty 8 out of 10 in revision rhinoplasties, surgical time about 6 hours (in expert hands, could be even longer). Cost is high however in relative terms can be cheaper in countries with less expensive general cost of living than yours, should the right professional work in any of them. If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also underneath the nostrils. Feel free to request any additional information from me.