Columella, Can It Be Pulled Back Down?

The answer is - yes in some cases. The columella can be lengthened by adding cartilage to this area to bring the columella down (or out). Can it be done to the where your nose used to be? Possibly. Make sure you consult with a revision rhinoplasty expert.

   Yes the length of the nose can be increased and the upturned tip can be lowered.  Part of this will be based upon what was done during the first surgery with regard to suture techniques, if any.  Cartilage grafts can be used to extend the length and lower the tip.  Find a board certified plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year.  Kenneth Hughes, MD Los Angeles, CA

The columella can be pushed back down by replacing what was removed to retract it...cartilage at the end of the caudal septum. A cartilage graft added to the end of the septum can move the columellar soft tissue in front of it forward. (down) An alternative approach is an onlay graft on the caudal end of the medial footplates of the lower alar cartilages.