Columella too wide, nose too narrow and breathing issues (Photo)

It's difficult to make an accurate assessment without an in-person exam. Consult with a rhinoplasty specialist to carefully weigh the available options. 

Without a full set of pre-op and post-op photos -it's difficult to comment accurately. Based on the limited photos--even though you're early post-op it appears that further aesthetic improvements can be achieved. I concur with your observations, these areas can be specifically improved based on a mutually achievable goals. 

Hi there, according to your photos your columella seems still very swollen. Gentle pressure on both sides will help. Any reduction with regards to the width of your columella will also improve your breathing. Ideally you should try to communicate with your surgeon about the progress of your healing nose. 
Greg Bran MD PhD
Double-Board Certified Facial Plastic Surgeon

Hi
and welcome to our forum!
The
procedure of rhinoplasty involves separation of the nasal bones
and cartilages from overlying and underlying
tissues, fracturing and reshaping
of bone, trimming and reshaping of cartilage. The tissue
trauma resulting from this "insult" is significant, resulting in the
inflammation of healing, swelling (which may be asymmetric), and firmness
which may persist for a year or longer. Swelling internally will temporarily affect the nasal airway. This phenomenon will gradually subside. Some surgeons advocate the
use of nasal tapes to control external swelling in the early postoperative
period. The nasal tip is notorious for taking the longest time to achieve definition!
The photographs you present appear to demonstrate residual swelling which still masks the final result.
I
recommend continued followup with your surgeon as you are a long way from being
healed.
Best
wishes...

Hello,

Thanks for the question.

Its common to look like this and have some breathing issues after septorhinoplasty.You need to have patience to see results.

Columellar struct seems to have been used to erect the tip without dropping, and this needs volume within columella which may look this way at this stage.

I normally tell my patients that it will take 18 months to look the way the PS has planned for you.

I wish you all the best