I am looking at wanting to derotate and lengthen my nose and wondering how easy my case is? (Photo)

Lengthening and derogating the nose will require adding cartilage back that was removed and it should be quite possible, but more involved than the original procedure. The cartilage coukd come from your septum if a septoplasty was not performed at the original operation or require rib cartilage. You should seek out a surgeon experienced in revisional surgery.