Revision Rhinoplasty for Tip and nasal refinement? (photos)

had a rhinoplasty done 13 months ago and the outcome is that a have a lot of tip scar tissue and nasal exposure and maybe a slightly hanging columella. My doctor is recommending I refine the tip and everything else will balance out, but I feel that my nostrils have been pulled back and up so much they need to be addressed! with the size of my nostrils, I fear too much tip reduction will make them even more disproportionately large. What is the correct approach: alarplasty? Tip refine?