What is this bump that has formed on my nose? (photo)

Hard to tell whether you have residual dormant infection or just scarring... bacteria can remain colonized on the cartilage because of its poor blood supply and antibiotic penetration... this makes matters tricky... I would likely try to fix this in 2 stages... the first a wide debridement and...

Hi @Jrdad! Thank you for sharing your photos. I am sorry you are unhappy with your results. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are options for you that can be determined after examination. Best of luck, Dr. Nima

You need to add back a lot of cartilage: rib is the only source which will give you enough. You should be able to raise your profile back to straight and lengthen the nose. The surgery will be more involved than the primary rhinoplasty but your goals are achievable.