Is this alar retraction? Should I trust the same surgeon? What are my options? (Photo)

In Aug 2022, I had septorhinoplasty for a deviated septum and dorsal hump, with some tip work to lift. Nov 23 revision with same surgeon to lift tip again and rasp lump on bridge. Surgeon said they "caught" lateral cartilage, causing a asymmetric hump on the bridge. I also think I have alar retraction, and my nasal breathing is reduced. Same surgeon proposes trimming protruding cartilage and lowering nostrils but didnt mention grafts or alar retraction. What are your thoughts/advice?