Can all of this be fixed with a revision and if so what kind of graft? (Photos)

Good Morning! Thanks for the question and photo. You can make improvements to your nose. Open procedures, which fully expose the underlying cartilage, are great choices in revision surgery. The reason is the extent to which the surgeon can be exact with certain changes. Graft material usually comes from the septum but, in revision cases, that may not exist. Then, we go to your rib. Cadaver rib is a choice though not ideal. The tip, bridge, and midvault would need to be restructured. Seek consultation with a facial plastic surgeon who takes photos and performs morphing to allow the desired changes to be clear. Hope this is helpful!