I'm confused about my job and wonder if it isn't aligned because of my jaw?

Dear pito36448,Thank you for your question. Revision rhinoplasty is more complex that primary rhinoplasty. A thorough exam must be peformed to assess your functional and cosmetic goals. In addition, review of previous surgery reports is important in developing a plan. You do have significant asymmetry which can be corrected through a variety of maneuvers.Best regards,Nirmal R. Nathan, M.D.

o   Certified, American Board of Plastic Surgery

o   Member, American Society of Plastic Surgeons

o   RealSelf Top Doctor

Revision rhinoplasty requires exceptional skill on behalf of the surgeon and great communication with the patient about realistic goals and expectations.
Common cosmetic concerns include a dorsal hump, wide nose, sunken nose, irregularities, and asymmetries. Functional concerns include difficulty breathing through the nose, which can and should be addressed at the same time as your rhinoplasty.
In a revision rhinoplasty, cartilage from your septum may have been depleted and therefore often an alternative source of cartilage is needed, such as from the ear. This is just one of the important differences between primary and revision rhinoplasty that need to be discussed in detail before you decide to proceed with surgery. 
In your situation, you have facial asymmetry throughout the face which explains why one side of the jaw is different than the other and some your nostril is asymmetry as well. It looks like you might benefit from a left sided spreader grafter but additional photos would be needed. 
Make sure to seek out the care of a board certified surgeon with extensive experience in revision rhinoplasty. Find someone you connect with, who will listen to your concerns and provide you with a framework for what is possible.  
Gary Linkov, MD
Rhinoplasty Specialist
Manhattan