Can a Hanging Columella Make a Nose Look Longer? (photo)

I have a hanging columella and was just wondering how my face could improve if i got it fixed. I was wondering if a hanging columella can make a nose look longer and also make the upper look look smaller? also what can i do overall to make my nose look shorter?

Doctor Answers 15

Long nose

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Yes you could benefit from nasal shortening and nasal  tip rotation.  Typically this will increase the length of your upper lip.  Computer imaging would be helpful to give you an  idea of what  can  be achieved with surgery. 


Toronto Facial Plastic Surgeon
4.4 out of 5 stars 119 reviews

Making the Nose Look Smaller

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There are multiple issues that can be improved upon!  We need a full set of photos and a discussion with you to be able to give you more detailed plan.  An in-person evaluation is a must.  Good luck!

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
4.8 out of 5 stars 48 reviews

Can a Hanging Columella Make a Nose Look Longer?

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 Yes but from the photo provided the nose is under-rotated and elongated.  An Open Rhinoplasty with Columellar tuck, nasal tip rotation and refinement would address these issues.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Can a hanging columella make a nose look longer?

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Hello, I have reviewed your posted photo and a combination of your columella as well as your nasal tip are an issue. You are a good candidate for rhinoplasty and all of your concerns can be resolved. Schedule a consultation with a Board Certified Facial Plastic Surgeon. Good luck to you.

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 18 reviews

Can a Hanging Columella Make a Nose Look Longer?

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Yes have an operation to correct this issue. Best to seek ONLY in person evaluations. 

Ethnic Rhinoplasty for Hanging Columella Deformity

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Looking at the photo, I think you are a good candidate to have rhinoplasty surgery to address the hanging columella issue. In some cases, like yours, the nose can indeed look longer than it should or could. In the hands of a good rhinoplasty surgeon, your tip and columella can be reshaped to provide you with a nice, natural looking result. I have included a link below to a recent patient post that highlights ethnic (Middle Eastern) rhinoplasty surgery to correct a hanging columella issue. Good luck with your search.

John M. Hilinski, MD
San Diego Facial Plastic Surgeon
4.7 out of 5 stars 44 reviews

Hanging columella and droopy tip

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Treating your hanging columella and droopy tip can make your nose look less long. Preoperative computer morphing of your nose can allow you to better see what changes can be made and how that will look on your face.

Check out my web reference link below to learn more about hanging columella repair.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Do I Have A Hanging Columella And Does This Make My Nose Look Longer?

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Dear David, You have a significant hanging columella and this certainly adds to the length of your nose.  To shorten your nose, I would recommend dorsal rotation of our lower lateral cartilages as well as a tip graft from your septum or from your ear.  Your nose is very long and thin, and the columella is crowding the dimple in the middle of your upper lip (the philtrum).  By elevating your hanging columella, your will not only shorten your nose but shorten your mid face as well giving more balance to your overall appearance.  

This is the point at which you need to make a consultation with one or more Board Certified plastic surgeons who have experience in the complex rhinoplasty. 

Hanging columella

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It is difficult to say if you have a true hanging columella, a droopy tip, or alar retraction without seeing other views and examining you in person. All three have different treatments.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Hanging columella

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you have a long nose with significant alar columella disproportion. A rhinoplasty can address your concerns in a variety of ways. A consult with computer imaging will help you best communicate with your surgeon and visualize your "new nose". 

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 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.