Is there anyway I could get a straight, derotated tip with a columella? (photos)

Hello, and thank you for providing photos along with your question. If you are unhappy with your results, you may undergo revision rhinoplasty. However, since revision rhinoplasty is even more complex than primary rhinoplasty, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Such experts will have a deep understanding of the nose’s functional and aesthetic elements while having an aesthetic eye for balance and symmetry. Your surgeon will give your nose and facial profile a thorough evaluation, recommend the best surgical approach, and ensure the best possible outcome.

In order to achieve nasal lengthening and tip derotation, you may require a "septal extension graft" of cartilage to add length to your nose and to lower your columella. That said, you appear to have a lovely result! Sometimes fillers may be used to lower a retracted columella, depending on someone's examination. Hope this helps. Dr Joseph

Hi, thank you. Do not worry please, it is not a bad nose. But, if you wish a straight nose and derogated tip, a revision should be planned. 12 months must finish following your surgery. Dr. Cem Altindag. Regards. Istanbul