Alarplasty/Tip Plasty v. Full Rhino -- more affordable?

It is interesting to learn that your nose was "excellent" following the rhinoplasty only to develop this marked asymmetry following FFS 4 years later! Besides what appears to be an upper liplift with a staghorn incision, I am wondering if you had any other FFS surgery. It is well known that advancing the white lip cephalad can cause nostril asymmetries, despite accomplishing a very acceptable liplift result. If one were to address the right alar retraction, an open approach would be best to determine if scar contraction was the cause. This could be easily corrected, but usually requires suturing of the LLC to something quite stable to avoid another scar contracture. Finally, the use of a composite graft from the ear may be ultimately necessary to bring the alar rim down.

Revision rhinoplasty for the unsatisfactory result. You will need a revision for your caudal septal deviation in your Left nostril , soft tissue grafts to your tip, etc as well as release of your lip. See a very experienced FFS surgeon for this who does natural noses.

The tricky thing with nostrils is that they actually don't have any cartilage support in them at the edge of the nostril rim. Above the nostril, up to about 5 mm or so, the same cartilages that run through the nasal tip push down on the nostril rim to keep it in the right place.
Sometimes in a rhinoplasty surgery the two cartilages of the nasal tip end up a bit asymmetric, with one higher than the other, which then brings one of the nostrils to this higher position as well. There is usually also some associated weakness of the sidewall of the nose in this situation, which can compromise nasal breathing on that side. This is what I see when I look at the photos you have provided. When rhinoplasty leads to one nostril margin going up, such as what is occurring on your right side (left side of the photo), it typically needs to be carefully repositioned back down by moving the cartilages themselves back down. In my opinion, by far the most effective way to do this is with open approach tip rhinoplasty. I personally feel that this is the best chance to restore a more symmetric appearance and improved breathing function.
Still, the most important thing for your situation is to have a good consultation with a board-certified plastic or facial plastic surgeon, where you feel comfortable with the approach the surgeon recommends and the plan makes sense to you.