What can be done to my columella? (photos)

I had open rhinoplasty 4 months ago .. i notice a shadow in my columella which make it look retracted .. do i need a columella revision ? or just a filler can make improvement.

Doctor Answers 1

Strut graft

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A strut graft using septal cartialge should help restore the normal columellar contour.  This would be a trip back to the OR however.  Fillers could help but may not last. 

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