5th time botched revision rhinoplasty referral needed uneven nostrils, deviated columella. Advice? (photos)

thank you for your question. I am sorry to hear that you are having difficulties with your nose. You appear to have a lot of scarring and contraction of the skin of the nose. In addition, the uneven nostrils appear to be related to scarring and shifting of some of the cartilage grafts. Seek out a surgeon who performs many revision rhinoplasty is in this devoted most of their practice to rhinoplasty for best results.

It might be unsafe restricting your search for a specialist to one single country, since you might be facing the last opportunity for a revision without turning to use disant flaps to supply skin cover to your nose. You are are on the verge of non repairability.It seems after many operations you rnasal skin cover has shrunk and additionally your ethnicity aggravates the scenario of skin shortfall, in a context of massive need for nasal lengthening and lower third expansion or reconstruction.The grafts required in your case are unforeseeable at this point, there seems to exist a massive fibrosis and calcification in your nose after so many and likely not very delicate procedures.Seek the advice and hands of a serious professional who offers to you a time-consuming and expensive procedure; stay far from minimally invassive snake-charming procedures, synthetic implants, fillers, wrapped diced cartilage, etc. Difficulty 10 out of 10 in revision rhinoplasties, surgical time about 6 hours (in expert hands, could be even longer).
See the link below to find few cases of my own practice very similar to yours which I had the opportunity to operate successfully on, sharing a lot of common features with the technical problem you have posted.If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also from underneath.
Feel free to request any additional information from me.

alohalove, you need to wait a year and aggressively massage your nose to break up scar tissue. See an experienced specialist that does only faces. See the video and good luck!