Is this an inverted v deformity?

It looks like there has been some alteration of the later cura of the lower lateral cartilages such that there is less support of the ala.  This gives the deep crease which makes the tip seem larger, affects the nostril shape, and contributes to the shorter length.  All of this needs to be c...

Firstly you need a surgeons who specialises in rhinoplasty as the majority of their practice. In general this sort of surgeon will have significant experience with rib graft use and be able to explain the benefits and limitations

I recommend that you wait another 7-10 months before considering another operation.  A revision takes longer to heal, you had extensive work with multiple grafts 5 months ago, and you have several problems. I'm sure you're frustrated but you must be patient so the next operation is the last.