Can twisted columella due to intertwined alar be corrected? Do I have nonsurgical options?

Columella twisted/deviated to one side, alar were to be separated as they are intertwined causing columella deviation but evident they have not been. Instead, something has been put on other side of columella to counteract problem. Still pull/contour to one side. Evident nostril asymmetry. Hoping this was final surgery but clearly not. Can this be addressed, intertwined alar separated and put correctly to even out asymmetry and contour? Would be 4th revision. Any non surgical solution?