Can I Only Have a Hanging Columella Fixing but Without Touching my Little Bump on my Nose?

Since i remember, my columella is my only problem, im ok with my little bump, i mean, i don't want a perfect nose.... i just want to reduce my columella. Is it possible? Or I'll have to fix the two things? I don't know. Thanks.

Doctor Answers 8

Fixing the Hanging Columella in Isolation

   A hanging columella can be remedied in isolation in most instances.  Kenneth Hughes, MD Los Angeles, CA

Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews


You can certainly undergo a columelloplasty to trim the membranous and cartilaginous columella.  This can be done under a local or general anesthesia depending upon the patient’s desire.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Hanging Columella repair

Repair of hanging Columella can be performed as an isolated procedure without touching the nasal tip or reducing the dorsal hump. In majority of cases it is preformed under local anesthesia. Please consult with an experienced rhinoplasty surgeon for your options.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 reviews

Hanging columella

Absolutely. Depending on the cause of the hanging columella (most commonly a long septum or overdeveloped lower lateral cartilages), this can be done via a tip rhinoplasty. You can leave the rest of your nose the way it is.

Jamil Asaria, MD
Toronto Facial Plastic Surgeon
4.8 out of 5 stars 131 reviews

Isolated hanging columella repair

Yes, you can just reduce your hanging columella while leaving your bump alone. It's totally up to you.

You can learn more about hanging columella repair at my web reference link below.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

Hanging Columella

Yes, it is absolutely possible to address only the hanging columella.  There is no need to do more then what is necessary.  

Jonathan Pontell, MD, FACS
Philadelphia Facial Plastic Surgeon
4.8 out of 5 stars 105 reviews

Columella repair without fixing bump?

In some situations columella can be fixed without treating the bump, but an exam in person will provide better information.

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

Rhinoplasty to fix columella only

The columella can be corrected without fixing the bump. However, your nose needs to be examined in person. There are conditions which are similar to a hanging columella that is not a hanging columella. For example, retracted alas may appear to give the same look, but are a different problem. A hanging tip can also appear to be similar.

Andres Bustillo, MD, FACS
Miami Facial Plastic Surgeon
4.9 out of 5 stars 117 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.