What is this red line under my nose? How can this tightness be resolved? (photo)

My 1st revision has gone wrong in many ways (not pictured). Amongst many issues I have this red line under the columella across to both nostrils when i smile or talk and it is so tight and painful I actually have to stop myself from smiling to avoid it pulling due to the discomfort. I have a rib columella strut which is sewn to the cruras (as on notes) and had abr. I need derotation, length and infratip back. How can this tightness be resolved?