Rhinoplasty drastically changed profile - advice? (photos)

Reducing the alar base is a common way of getting the nose to be narrower from the front. Based on your photos, it looks like your surgeon probably did both this and also reduced the tip. Personally, I always communicate with my patients if I plan to address the alar base because, as you said, it is permanent and I want them to know that I am doing it beforehand, but I know that not all surgeons do this. As for the asymmetry, your nostrils do not look overly asymmetric to me- if you study your before/first picture, you will see they were already asymmetric in a similar way to begin, and usually doing alar base surgeries will enhance some of that asymmetry. I think your nose looks pretty great from these photos.