Asymmetry and alar retraction - What is the least invasive procedure to fix issues and make it aesthetically pleasing? (Photos)

Thank you for the question and the photos.
I think the first thing that I notice in the pictures is your alar retraction or "notching" of the nostrils (one side worse than the other). This is something that can be improved through a minimally invasive procedure. This involves getting a piece of cartilage and skin from the ear and placing on the inside of the nostril to lower/decrease the amount of notching. I think this could also help a bit with the appearance of the columella, as I don't think the issue is that this is too low/overprojected, but rather looks that way because of the ala/nostrils.
I think your best bet is to schedule a consultation with someone who specializes in rhinoplasty and whom you feel comfortable and confident with.
Hope this helps and I wish you the best of luck! Kyle Kimura, MD

Based on your photos, you are a great candidate for revision rhinoplasty. The tip droop needs to be lifted, which helps columella show. The tip is also too wide, and this can be refined during a revision, while trying to push the nostrils down at the same time. Be sure to see an expert rhinoplasty surgeon for consultation.