Is there a minor thing that can be done to fix the dent and move the columella up?

Thank you for your question, and I'm sorry you're going through this. Although an in-person exam would be helpful to get an idea of the exact cause and develop ideas regarding treatment, it is possible that reducing the size of the graft may help. This could be done under local anesthesia in the office, with a small incision on the inner edge of the nostril. Again, I can't be certain this would help, but it might be a place to start with little risk or downtime. I hope this helps, and I wish you all the best.
-Dr. P

Good Morning! Thanks for your questions. Depending on how the graft was placed and how big it is determines the effect on the upper lip. I do counsel patients on this prior to surgery that some change may be expected, though yours seems significant. That doesn't mean that changes can't be made. It may require repositioning of the graft or simply trimming it. Sometimes, this can be performed in office under local, but it depends on the extent of the repair. I would seek consultation with a facial plastic surgeon who performs rhinoplasty often and see what may be able to be done. Hope this helps you!