What's wrong with my nose? Do I have a hanging columella? (Photo)
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.
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.
It does not appear that you have a hanging columella. If you want more dorsal height, you will need to be grafted.
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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 :)
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.
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