Considering rhinoplasty revision - what can I do to fix these problems? (Photo)

Yes. Those issues do have a solution. In cases like yours, I usually use rib cartilage for grafting to give back structure to the nose, particularly to the tip. I also use ultrasonic rhinoplasty techniques to remodel the bone and improve its contour. You also have some retraction of the alae probably from scar tissue or lack of cartilage structure. All these things can be significantly improved with revision surgery when done by a surgeon that specializes in this procedure (revision rhinoplasty). Hope this helps!