Revision rhinoplasty help. Any suggestions? (photos)

I would like to achieve narrow refined dorsum, and I would like to add cartilage on my columella, and to move my tip down. Would that be enough to improve my appearance of my front side of my nose, or you have maybe some other suggestion. One surgeon turned off my wish to perform bullhorn lip lift, so that is not what would be included. Just want to achieve some balance of my face by changing nose. Here I'm sending you some photos before and after.

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