Hanging alar and retracted columella. What procedures are needed to get the maximum result? (Photo)

Hi purrfeccat. I'm going to assume that this is a primary rhinoplasty, meaning you have not had any procedures on your nose. If that is the case, and the above are you only concerns (hanging ala, retracted columella), you most likely need a septal extension graft to push out the columella and I would do Weir incisions to address the ala. Good luck!

You require corrective surgery to address nasal bridge augmentation, tip projection, and columella projection. While you may have noticed a hanging alar appearance, this seems to be a result of a retruded columella rather than actual hanging ala. It is anticipated that the hanging alar appearance will resolve following the correction of tip projection and the retruded columella.

The most effective surgical approach to simultaneously correct tip projection and the retruded columella is to utilize a septal extension graft constructed from septal cartilage. Nevertheless, because septal cartilage in Asian noses tends to be small and fragile, combining it with ear cartilage often yields significantly better outcomes in most cases.