I had a rhinoplasty in 2010. Mostly satisfied with my nose except for my hanging columella. Can a columelloplasty help? (Photo)

If you're hanging columella is being caused by an overly long septum, I'm not sure if an isolated columella plasty would be beneficial. If you're hanging columella is caused by an excessively long nasal septum, when you push up on it, it should not move much.

In our experience, removing excessive mucus membrane in the office to try to lift a columella will lead to a mild improvement. The excessive curvature of your columella may require a revision tip plasty. That approach could be used to shorten your nasal septum if necessary, and to decrease the excessive curvature that is seen. It would be best to have an in person consultation with a reputable revision rhinoplasty specialist. Thank you for your question I hope this is helpful. Sincerely, Dr. Joseph

Hello and thank you for your question. Based on your photographs, you will benefit much more from a full revision Rhinoplasty. Your case is very complicated with extreme alar retraction, as well as nostril asymmetry. This will absolutely require a full revision in order to fully address. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

You definitely have a hanging columella. A Columella-plasty can accomplish help reduce the hanging columella in addition to reducing the over rotation as well.