Rhinoplasty after failed septoplasty
Septoplasty primarily has to do with the inside of the nose. You can still straighten the outside of the nose without using cartilage but it really depends on your exam. The photo suggests that this would be possible but a better exam in person would give you a better idea of what it would entail. In your case, probably resetting the nasal bones along with repeating the septoplasty, could possibly help. Depending on the curvature of the miiddle part of your nose, cartilage maybe required here but difficult to tell from the photo. If you don't have enough cartilage remaining in the septum (we would check it first), then we may have to use cartilage from the ear to repair this portion.