I have bent columella on the right side and I want to fix it. Is it possible? (Photos)

A bent (deviated) columella is usually a sign of significant deviation of the caudal aspect of the nasal septum. Caudal aspect of the septum interplays with medial crus of the lower lateral cartilages of the nose on both sides to constitute the structural component of the nasal base. This complex relation warrants a thourogh nasal examination and knowledge of any pertinent previous history such as trauma or surgery before one could assess the prognosis and the extent of surgery needed to aim the desired improvement.

Thank you for sharing your question and photos. You are an excellent candidate for a rhinoplasty to refine your nose to better fit your other facial features. With regards to the asymmetry you are noticing at your nasal tip, this can certainly be significantly improved during a rhinoplasty. Depending on the degree or asymmetry, your surgeon will be able to evaluate what degree of improvement is attainable. On average, the cost of a rhinoplasty is around $8000-$10,000 and payment plans vary by office. If you have any functional issues, such as a deviated septum, a portion of your procedure may be covered by insurance. The next step would be to schedule a consultation with a board-certified facial plastic surgeon. I always recommend consulting with several surgeons before deciding who will perform your procedure. Best of luck!

Rhinoplasty for a more feminine and attractive nose. You need increased projection of your tip, removal of your septal deviation, refinement of your tip, etc. Your right ala is much smaller than the left as well.  This should be done by a VERY experienced rhinoplasty surgeon who can show you many photos of his work. 

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from a cephalic rotation of your tip to turn
up your tip slightly and a conservative dorsal hump reduction.  Your columellar asymmetry can also be addressed during this surgery also.  Cost varies based on geographic region and surgeon expertise.   Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Typically if the columella is deviated the underlying problem is deviation of the caudal ( bottom ) of the septum. The septum is the cartilage in the middle that divides the left and right side of the nasal passage. This acts as the beam that supports the outer cartilages that make up the shape of the nose. When the caudal septum is deviated, a reconstructive rhinoplasty is necessary to correct the problem. I have found that this is best accomplished in my hands by removing the deviated cartilage and then using the cartilage to reconstruct the septum back into the midline. This is call extracorporeal septoplasty with reconstruction using spreader grafts and a replacement caudal strut. Please seek out a surgeon that has extensive experience in rhinoplasty as this can be a challenging procedure. Please understand that there can be many reasons for the problem that you describe and a full exam is necessary to create an accurate treatment plan. 

Rhinoplasty can address droopy tip, bulbous tip, dorsal hump, hanging columella, and wide nostrils

The caudal end of your septum is deviated as it is too long and deviated into your left nasal airway. This also drives down the tip of your nose and creates a columellar-nostril rim discrepancy. To ideally improve these concerns you need at least a tip rhinoplasty and perhaps full rhinoplasty.

The asymmetry in your columella can be improved.  It is likely caused by an anatomical issue in your cartilage that needs to be addressed.  The best recommendation is to consult with a board certified specialist who can assist you with achieving the results you seek. 3-dimensional computer imaging can help you visualize what you might look like afterwards and serve as an important communication tool with your surgeon.

IMO you will be best served by an open septorhinoplasty where cartilage can be harvested and your tip reconstructed to enhance shape, symmetry and projection.  The potential for improvement is very high.  I also think that you should consider a conservatively sized chin implant to better balance your profile.   Costs will vary based on surgeon's location and experience.  A face to face evaluation is necessary to give you an accurate price estimate (despite the long distance).Best wishes,
Jon A Perlman MD FACS 

Certified, American Board of Plastic Surgery 

Member, ASAPS, ASPS

Extreme Makeover Surgeon, ABC TV

Best of Los Angeles Award 2015, 2016 

Beverly Hills, Ca

Thanks for the question.  It is possible to correct the septal deviation and shorten the nose, refine the tip, possibly lower the height if it proves to be necessary, but all of this would be determined after a full examination .  The cost of  this type of surgery could only be determined after a full review of the specific surgical needs.  Choose a highly qualified Board Certified Plastic Surgeon to assist you with this evaluation.  Good luck to you.  Frank Rieger M.D.  Tampa Plastic Surgeon