Asymmetrical nose after 2 surgeries. What's going on? (Photo)

I had a rhinoplasty about a year and a half ago and was unsatsified with the results because of the unsymmetricalness at the tip of my nose. so went in for another about 5 months ago. It still is very unsymmetrical in the tip of my nose especially when I smile. What's going on? I'm five months in and scared that nothing is going to get better because it didn't last time. Any suggestions? I'm not willing to go under the knife again and am genuinely upset because 2 times should've been more than enough..

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