Hanging columella, retracted alar rim, or both? (Photos)

Thank you for your question and photos. You appear to have a hanging columella, which can be addressed during a rhinoplasty procedure. Excess tissue can also be removed to make your nostrils appear more narrow and symmetrical.

Since rhinoplasty is one of the most complex of all plastic surgery procedures, experience, skill, and even artistry are required to ensure the best outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to assess your concerns and determine the best course of action to help you achieve your aesthetic goals.

Hi @Mellllanie. Thank you for sharing your photos. I recommend seeing an expert rhinoplasty specialist for an in person examination. There are options for you that can be determined after examination.

Best of luck,

Dr. Nima

Hanging columella or retracted alar rims? The main defect is the hanging columella. You do have a slightly high arch to your Alar rims but I would say that 75% or more of the issue is with the hanging columella. at any rate I would only address the Columella if you were to proceed with surgery and leave the alar rims alone.