Crooked Columella After Rhinoplasty

It appears that your nose was deviated before surgery; this could be from a deviated nasal septum.  The septum may or may not have been worked on, but often times if it is not, the deviation becomes more apparent.  Ask your doctor if septal work was performed.  You may need a revision, but best to wait a year until the nose is soft before performing any additional surgery.

A crooked columella after rhinoplasty could be due to a septal deviation, a malpositioned columellar strut graft or even tip cartilages that have twisted with scarring or initial placement. Now that it is nearly nine months after your initial surgery, it is unlikely that major resolution or improvement is going to be seen with more time. This would indicate that revision for improvement will be needed. At this point waiting until a full year surgery before revision is not much longer. Go back at one year and discuss with your plastic surgeon your concerns and hear what he/she has to say. If not happy with those answers, it is time to get a second opinion.