How Realistic is It to Shorten Philtrum, Decrease Width of Columella, and Expect Good, Natural Results? (photo)

Had a 1st rhinoplasty/septoplasty in 2005 and LeFort I osteotomy in 2012. My upper lip became less visible and pronounced/uneven nasolabial folds. Septum weakened, tip of nose began to "slide" down. In Dec 2010, had septum "re-built" from rib graft and tip raised. Lots of scar tissue formed; 7 months ago, had another revision---all scar tissue removed. Nose is still bulbous, lots of scar tissue, wide base and philtrum. What would you do knowing my hx and seeing photos?? Thanks!