Considering revision for cleft lip? (photo)

45 years old. Had reconstructive surgery through the Mayo Clinic up to age 7. Was suppose to have surgery again at 12-13 yo but parents moved to the South, became self employed and didn't have medical insurance. I have learned to deal with my appearance but have always wanted to change it. Would like my nose and lips to be as symmetrical as possible. I'm not sure it can be done. I am having problems breathing through the left nostril and deal with constant drainage. What, if anything can be done?

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