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

Question

Hi, I am looking to address the tip of my nose. I am unsure if I have a hanging columella, retracted alar rim, or both. My concern is mainly being able to see into my nostrils from the side profile which tends to be more obvious when I smile. Thanks

Jonathan Kulbersh, MD · Answer

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.

Nima Shemirani, MD · Answer

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

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.I have evaluated your case from the photos you provided and I can say that you have a retracted columella and you need an alar base reduction. Believe me with a rhinoplasty surgery you can have a more elegant and feminine nose. Your nostrils show too much when you smile probably because of the retracted columella, your tip can tend to be droopy.Best regards!

Andrew Miller, MD · Answer

It appears as though you have a bit of both. During rhinoplasty, the columella can be brought up some and supported better so that it doesn't droop when you smile. It's difficult to bring the nostrils down when it's your natural anatomy. Be sure to find a rhinoplasty specialist for consultation.

Eric M. Joseph, MD · Answer

Based on your photos, there is an exaggerated curvature of your Columella that is causing it to hang. Sometimes this is associated with a long nasal septum. If this is something that's causing you significant dissatisfaction, please consider Consulting with several reputable rhinoplasty specialists who offer computer Imaging so you can see what might be best for you moving forward. Hope this helps! Dr Joseph

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

Answers (5)