Candidate for columelloplasty? Absolutely self conscious about my side profile. What are my options? (photos)

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. Cartilage grafts may also be used to help improve tip refinement.
You may also benefit from a cephalic rotation of your tip to turn up your tip and columella
slightly.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Septorhinoplasty for a more attractive and feminine nose. Your hanging columella can be removed and your tip refined as well as shortening the length of your nose. This will give you normal nostril show and a much better looking nose.

Your nasal tip is turned too far downwards which is the main cause of your columella concerns. The nasal tip needs to be shortened and rotated upwards to open up your nasolabial angle which would reveal more of your columella.