5 months post op, swelling or polly beak deformity or bulbous nose? Should I have another revision? (Photo)

Hello doctors - I underwent revision rhinoplasty with a silicone implant on my bridge, rib, and ear cartilage for the tip and alarplasty five months ago. I've noticed that my nose isn't getting smaller. Some people suggested I might need another nose revision. I'm reluctant to undergo unnecessary revisions. Could it be just remaining swelling, or might I have developed a pollybeak deformity? Should i do another alarplasty to make my nose smaller or total nose revision?