Hi Pinklady,
You mention that you are unhappy with the columella hanging and also refer to the bulbousity. The two generally are unrelated though. If it is a hanging columella only that is concerning you, then fixing this is usually fairly straightforward and can be done closed (incisions on the inside). If your tip is bulbous the extent to what you need done to achieve your goals is difficult to say without examining you or at least seeing your photos.
Often, I will treat persisitent bulbousity with a minimal closed approach but you many need a complete tip revision through an open approach to achieve your goals. In which case the surgery and post operative recovery period would be more involved. if you are unhappy with your result then I would suggest seeing someone who specializes in revision Rhinoplasty.
I have treated both situations with open and closed approaches and have photos on file if you are interested in seeing more.
Best of Luck.
