Am I good candidate for columellaplasty? (Photo)

Hello, and thank you for your question. In general, yes, it is possible to only correct a hanging columella without significantly altering other structures. The appearance of hanging columella can be the result of having a long septal cartilage, having retracted nostril rims, or both. If it is solely due to the septal cartilage, removing a few millimeters of cartilage from the bottom through an incision inside the nose can help you achieve better nasal symmetry.

To know the right cause and approach, have a face-to-face evaluation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Such experts will have a deep understanding of the aesthetic and functional elements of the nose while having an eye for symmetry and balance. Your surgeon will evaluate your nose and facial profile, recommend the best approach to address your concerns and goals, and help ensure the best possible results.

Good Morning, Stella! You could perform work on your columella to give it structure. The tongue-in-groove technique works well. The problem with simply trimming the end is that you create a lack of support long-term. Usually suturing and cartilage grafts at the caudal septum provide the most strength to keep the nose where it needs to be and help it resist movement with smiling. This doesn't mean a full-on rhinoplasty is needed but you want it to be done right so it lasts. Hope this helps!

You have a nice looking nose. I agree that you do not need a full rhinoplasty. I think you would benefit from tip rhinoplasty to even out the columella and improve the tip position when you smile. This can be accomplished in 1 hour either under local anesthesia or general anesthesia by an experienced, board-certified plastic surgeon who is well-versed in tip rhinoplasties (open or closed).