Any ideas to fix my swollen nose tip nearly 3 years post surgery before I have to resort to surgery again? (photos)

Chronic swelling of tip. Interstitial fluid bloating. Feeling of "space" or gap between subcutaneous and cartilage. Occasional "infection" at dermis (red, painful, surface pores ooze/pus). 2x Triamcinolone injections = 5 days of relief, then swelling returns. 3x months doxycycline (infection?) = no change. LED and IPL courses (rosacea?) = no change. Diet, exercise, done it ALL. ENT says "next step thin subcutaneous tissue in surgery". Any ideas before I return to theatre? Help!