What's wrong with my nose? Do I have a hanging columella? (Photo)

Septo-rhinoplasty 18 months ago and i hate how my nose looks now, i had a hump and i wanted to shave it a bit and i end up like this. Do i have hanging columella?. Can ear cartilage build the area above the tip to make nose straight?

Doctor Answers 5


No, you are confusing the nomenclature.The columella is the column that goes from the upper lip to the nasal tip.The area above the tip on the nasal dorsum is too low. Grafting in this area would make the nose look straighter.

Boston Plastic Surgeon
3.7 out of 5 stars 23 reviews


You do not have a hanging columella but your infratip lobule may be a bit prominent and it can be reduced a bit.  Your dorsum can be rebuilt with ear or rib cartilage if you desire more dorsal projection. 

John Michael Thomassen, MD
Fort Lauderdale Plastic Surgeon
4.9 out of 5 stars 52 reviews

Hanging columella?

It does not appear that you have a hanging columella.  If you want more dorsal height, you will need to be grafted.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Looks good

Your nose is very pretty. I would not risk more scarring to make changes. Crushed cartilage from your septum can be used to make subtle changes but it requires surgery, dissection, scarring. I'm not sure its worth it. A collumella can be up to 4 mm from the nostril rim and be considered normal. I wouldn't change yours :)

Jeffrey Watson, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

What's wrong with my nose? Do I have a hanging columella?

Based on the pictures, there does not appear to be a hanging columella and the nose look good. A preop picture may be useful. 

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 68 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.