How Much Would It Cost to Have my Hanging Columella Fixed?

The first thing you mentioned is that you have always hated your "beak like" nose.  I think you are being hard on yourself, by the way.   Altering the columella will not do much to correct what is really bothering you.  Therefore, you should have have a consult with an expert rhinoplasty surgeon who can address all of your concerns.  Some surgeons (me included) have software that can help you get an idea what your nose might look like after surgery.  If you were in my office, I would show you how nice a bit of tip projection, profile reduction, and hanging columella reduction would make a very nice, natural change.  Don't have anything done to your nose until you are ready to do the whole thing.  I'm sure you would be back for more later, which costs more, takes longer, and has a more difficult recovery, depending on what was done the first time.  Good luck!

A hanging columella is one of the most common complaints after rhinoplasty. It is one if the simplest things to avoid and correct. A hanging columella is the result of failure to shorten the cartilaginous septum. Correction does not require an entire rhinoplasty revision or the expense, but cases vary because other things may need to be done as well.

It certainly is possible to only operate on your columella. Your photo suggests that your right ala meets the cheek slightly lower than on the left which likely leads to more columellar show from the left side. I think that you and your nose are best served with having only one rhinoplasty operation. Therefore, planning this your procedure is important. Raising the columella often requires shortening the end of your nasal septum by 1 or 2 mm. In addition, other rhinoplasty "moves" may be required for best improvement. Consult with a rhinoplasty specialist (or two) before jumping into such a finesse procedure.

Improving your columella would certainly be possible. How extensive this would be would depend on your anatomy. Your frontal view seems to show that your columella is deviated to your right. This may be due to a deviation of your septum in this area. It also appears that your upper jaw bone is fairly prominent in the area where it meets your columella. This can also be addressed if you wanted.

You should visit with an experienced rhinoplasty surgeon who can show you before and after photos of patients with similar issues. Costs can vary quite a bit based on your location, surgeon experience, length of surgery and whether it can be done in the office or needs to be done in an operating room.

A columelloplasty is a simple procedure that can be done under local anesthesia.  It is a simple procedure where by both membrane and cartilage are trimmed in the appropriate fashion inside the columella on both sides to tuck the columella inwards and upwards.  This prevents columella show.  The cost for a columelloplasty is approximately $3000 and is done as an outpatient procedure.