Your columella is likey deviated to your left due to a deviation of the edge of the septum in this area. If you want this improved a revision surgery can be done to straighten the area. Septal reconstruction or grafting may be needed. An in person examination would allow for a better assessment of what options you have.
What Should I Do, My Columella is Crooked After Rhinoplasty? (photo)
Doctor Answers (4)
Crooked columella repair
Crooked collumella from below
First it would be useful to have your preoperative photos. Second it would be helpful to have some additional postoperative photos. Third you have an asymmetric nasal base with your left side higher than the right. The preoperative difference will make it impossible to achieve a perfect result.
Web reference: http://www.plasticsurg.org/plastic-surgery-chicago.html
If you have a crooked columella look from below, it is probably related to your caudal septum. This can be evaluated by exam.
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Crooked Columella after Rhinoplasty
Your columella is crooked, but I think the primary problem is deviation of the end of your septum. The cause will be easily determined with a physical examination. Talk to your surgeon about a revision procedure to straighten the septum.
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