I have a twisted and dented columella, how can I fix this? (Photos)

Thank you for you for your question. I would recommend Rhinoplasty with the latest Ultrasonic Rhinoplasty device Piezo®:

In traditional Rhinoplasty, surgical instruments known as rasps and osteotomies (hammer and chisel) are used to reshape the nasal bones by removing the hump and/or narrowing the nasal bone width. These tools are relatively imprecise and their use can lead to contour irregularities, etc. if not used in the proper manner. Recently, a technology that uses sound waves has been developed to contour nasal bones in a precise and far less traumatic way when compared to traditional techniques. Ultrasonic, or Piezo, Rhinoplasty is now the most advanced technology available for minimally traumatic nasal bone reshaping and hump removal during Rhinoplasty. There will be hardly any bruising and swelling which will make the recovery period a lot easier for the patient. our question.

Based on this photo, best treatment would involve surgical correction of lower lateral cartilages. It will require small incision across columella and reshaping of medial crura with sutures. It can be done in local anesthesia. Good luck.

As far as I can see from the photos you've sent, there is an asymmetry in your nasal wings and an irregularity in the cartilage tissue. The most effective method I can recommend for solving this situation is atraumatic, Preservation Rhinoplasty for your nose surgery.