Painful nostril and deformed alar region. 6 months PO revision rhino, is this exposed cartilage? (Photo)

Internal and external pain still even though no more drainage from bad infection that lasted 4 months around septal alar rim graft. red lump, inflammation still on skin outside of nose and internally rawness. Do I have exposed cartilage and should it be trimmed away? Surgeon too far away, due to see another surgeon close to home. Does trimming exposed cartilage help with pain? This area looked fine before surgery so I'm very upset!