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What is causing my nose crookedness? Which technique can fix this? (Photos)

Lili SQT
Hei I had Revision rhinoplasty. Main reason breathing and appearance. I wonder what is causing my nose to be crooked. The columella? The lateral alar crura? Which technique should be performed? And if it can be done with local anesthetics? Do i have concave lateral crura alar? Or alar collapse? Thanks

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