It's possible that a minor revision rhinoplasty, also known as a "touch-up" or "fine-tuning" procedure, could be performed in the office with local anesthesia to address the issues with the cartilage and asymmetry in your nostrils. However, the specific technique and anesthesia used will depend on the extent of the revision needed and your surgeon's preferences. It's important to note that even a minor revision rhinoplasty is a surgical procedure and should only be performed by a qualified and experienced plastic surgeon. Your surgeon will need to assess your nose and determine the best approach to achieve the desired results while minimizing the risk of complications. During your consultation, your surgeon will be able to assess the condition of your nose, discuss the details of the procedure, and address any concerns you may have. They may also be able to show you before-and-after photos of similar procedures they have performed on other patients to give you an idea of what to expect. It's also important to have realistic expectations about the results of the procedure. While a minor revision rhinoplasty can address certain issues, it may not be able to completely correct all issues, especially if they are more complex in nature. Overall, if you are unhappy with the appearance of your nose after a previous rhinoplasty and would like to explore the possibility of a revision procedure, it's important to schedule a consultation with a qualified plastic surgeon who can assess your situation and recommend the best course of action. Best of luck !