This issue seems to be getting worse the older I get. It did not look like this in highschool. I don't know the correct term for it but I believe it's the columella. It's very defined and gets extra pointy/thin when I smile. I am pleased with the rest of my nose and the size. I just want, what looks to be excess cartilage to be removed & possibly smaller nostrils. There is also a ridge or indent (seen in photos) that was not as defined years ago. What procedure would you recommend for this? Thx!