Nasal Vavle Repair - Alar Batten Failed - Any other options for me?

Hi there, I underwent functional rhinoplasty last year to address significant nasal valve collapse, particularly severe external valve collapse on my left side where the nostril would fully collapse on inhalation. The procedures included alar batten graft, alar rim graft (left side only), septoplasty, intranasal Z-plasty, and turbinate coblation. Since surgery, there has been some improvement. The external nostril no longer completely collapses, but I am still experiencing bothersome symptoms. There is persistent inward movement of the alar sidewall, especially around the junction of the alar crease and internal valve. This becomes more noticeable during exercise, and my sleep continues to be disrupted. It feels like there is still weakness in both the lateral wall and internal nasal valve. The operated nostril also appears structurally weaker compared to the other side. Before surgery, another surgeon suggested a lateral crural strut graft, and I am wondering if that may still be appropriate to improve support and airflow. My questions are: Can a lateral crural strut graft or similar technique still be performed after having an alar batten graft? Would this type of graft better address persistent alar wall weakness and dynamic collapse? Are spreader grafts likely to help in my case, given that my main concern seems to be lateral wall and alar weakness rather than just internal valve narrowing? In revision cases, is a combined internal/external repair suggested?