Should I use ultrasound therapy after revision rhinoplasty to breakdown scar tissue?

You need a revision of your nasal dorsum which is still too high; you need to have the cartilage removed from the middle dorsum, and more bone removed from the upper dorsum.

There is almost always internal nasal swelling after rhinoplasty.  There could also be some crusting present.  At this point I would not be alarmed, I would discuss any remaining concerns with your surgeon at your post operative appointment.

The columella is made of cartilage. And it's the same cartilage as the cartilage that forms your tip. So you can't just raise the columella without possibly doing something bad (or good!) to the tip of the nose at the same time.See the short attached video for an example of elevating a drooping...

Based on your photos, I share your evaluation and concerns. Yes, in my opinion- your goals are achievable pending physical exam. In order to make a final commitment- a Board Certified PS would require physical exam prior to final comment. But- yes- it can be done in the right hands.

Yes, it is possible and very simple, an easy gesture trimming the lower end of the caudal septum makes the work.I have read attentively your message, nevertheless let me warn you severely AGAINST such upturned tip, since 99,99% of patients would find such piggy nose disgusting and grotesque,...

From your photos, it looks like you would benefit from a formal hump reduction. Most bumps on the nose are caused by both bony AND cartilaginous bumps.  The cartilaginous portion does not respond very well to rasping or "filing."   More formal techniques are needed.  Honestly, even for most bo...