Hanging Columella Reduction Under Local Anesthesia
In a rhinoplasty 5 years ago my nasal bones were narrowed and tip rotated up. When I smile my nose looks pinched with an excessively wide alar base, and my columella hangs far below the tip giving my nose a cartoonish "hook" down. I have heard that is possible to have a septal reduction to lift the columella under local anesthesia, if that's the main problem. I'd like to avoid a full revision surgery if possible. Is this recommended? How can I find a surgeon who does this? What would it cost?