Fix a Retracted Columella?

Thank you for your question and photos. It appears you would be a good candidate for surgical rhinoplasty - nonsurgical treatments are unlikely to produce a satisfactory result. This procedure will probably involve a graft to bring the columella down. The surgery is one of the more complex rhinoplasty procedures, requiring a great deal of experience of expertise to perform correctly. Make sure you work with an experienced, board-certified facial plastic surgeon who performs many rhinoplasties every year to ensure the best possible results.

A cartilaginous graft placed into the columella will give more columellar show and reduce the retracted columella. It's important to have plenty of cartilage left in the septum for grafting purposes

The columella projection can be improved with a cartilage graft. Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA