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

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.