It is very difficult to answer your question without seeing your pictures – you should consider posting images showing your areas of concern
My Columellar is Pointing to the Right, Options?
Doctor Answers (3)
Without seeing photosraphs it is dificult to say anything. A deflected columella may be related to the inferior septum. An exam would be necessary.
Without seeing your photograph it is difficult to give you sound surgical advice. But is sounds as if you have a deviated septum that needs to be addressed at the time of your rhinoplasty.