Can hanging columella be fixed with shortening of the nose/rotation the tip upwards?

It is hard to give a meaningful answer without at least photos but best with a examination and prior op notes so what was done at the first operation can be understood.  That said, a hanging columella typically is due to a elongated septum and/or excess soft tissue under the nose.  Correcting these issue would likely have a better chance of retracting your columella than tip elevation of nasal shortening.  Follow up with your plastic surgeon to express your concerns.

Thank you very much for sharing your concerns with us.Congratulations for having patience and wait six months PO, which is the recommended time allowed to make judgments of value and be precise and accurate.After having analyzed all the info and photos provided to us, i recommend to perform a Rhinoplasty revision to treat the columella. I recommend you to send your photos to give you better advices and recommendation. Respectfully,Dr. Emmanuel Mallol Cotes.-

It is hard to comment specifically on your case without pictures. However, hanging columella is due to a rather long septum usually or poor columella support. Shortening the septum and rotating the tip does pull the columella up. You may also need columella graft to support it if it's week. Have to be careful if you already had septoplasty, to make sure you have enough support to your septum.

Dear Rhea, With no photos being submitted, we can only reply in general terms. The upward rotation can  fix a hanging columella to a mild degree and it is used primarily to lift a tip. If this was suggested to you perhaps that was the issue for you. Perhaps this is all you need, but it is very hard to say if this is the right procedure for you without firstly, seeing your photos in 6 views and also examining your nose in person. Typically the septum might need to be shortened along with the medial crura to address the issue. That would need to be determined on the lateral view and an examination in person. You may wish to consider performing computer imaging as well as a communication tool between you and your surgeon as to better understand what is surgically possible, and for him/ her to understand the look that you seek.Best of luck in your quest !Dr. Anna Petropoulos, Boston's North Shore

Thanks,Caudal trimming of your nasal septum plus redundant soft tissue is all what you need !Best wishesJ TaheryOtolaryngologist/Facial Plastic SurgeonChesterUK

You would have to be seen in person. Yes, sometimes the caudal septum excision helps, and sometimes membranous septum as well is trimmed.

I can see how easy it is to get confused with rhinoplasty discussions - it is a very complicated procedure. Oftentimes, it is possible to adjust the position of the columella, and it is also possible to alter the nasal tip projection and rotation. There are limits on how much one can accomplish, but in general these two sets of changes can be performed together. I hope this helps. The key is to establish as precisely as you can what your specific goals are. Then, your surgeon can advise you on how likely you are to reach those goals.