My nose tip or columella hangs down. Any suggestions? (photos)

In general, revision rhinoplasty techniques may be employed to lift a droopy nasal tip, and repair a hanging columella. If your surgeon is not familiar with such techniques, consider getting a second opinion from another rhinoplasty specialist. Thank you.Dr Joseph

Lacking a profile picture that would be helpful in evaluation I agree that you have a hanging columella, but also fairly high arched nostrils which may be higher after your rhinoplasty ( can occur after cartilage resection from the tip cartilages). The best approach could only be determined on physical exam but often patients can benefit from a resection of the caudal septum and some mucosa, which is a minor office procedure.  In other patients a more complex revision tip rhinoplasty is necessary.   I would seek the opinion of a surgeon experienced in revision rhinoplasty since your surgeon does not want to perform a revision.

Although a profile view of your nose would be very helpful in your evaluation, it appears that your caudal septum is still too long and you have retracted/arched nostrils with a lot of nostril show.  The best approach could only be determined on physical exam but often patients can benefit from a partial resection of the caudal septum and a revision tip rhinoplasty.   I would seek the opinion of a surgeon experienced in revision rhinoplasty.