Alar batten graft migrated? Can this be moved back into place?

You do have an inverted V deformity based on these photos. A closed rhinoplasty can accomplish improvement with osteotomies placed in the nasal bones to narrow them, and spreader graft placement under the collapsed upper lateral cartilages to widen them. All incisions are placed on the inside...

A closed revision rhinoplasty is certainly possible, however it needs to be done under general anesthesia. The photo shows an over-rotated tip and a hanging columella. All incisions are placed on the inside of the nose. Consider a chin implant for the recessive chin profile.

The technique (open or close) is really dependent on your surgeons preference and what technique they are more accustomed to. Having said that, it is generally agreed revision rhinoplasties and where substantial changes are expected, the open technique is preferred and likely to give you a...