15 years post rhinoplasty. Now have hanging columella. Can I get this fixed without going through rhinoplasty again? (photos)

It depends on what you mean by rhinoplasty . This could be corrected without performing a "full" rhinoplasty, if that's what you mean.  This is definitely correctable without making external incisions.  Make sure you see an expert in septoplasty and rhinoplasty.  Good luck

Hello,
The simple answer to your question is yes, the hanging columella and/or retracted ala can be improved.  However, the solution is surgical.  It is not as extensive as most rhinoplasties but it does require a procedure.  I recommend a re-consult with your original surgeon first to determine what the needs are based on photography and physical examination.
Best of Luck,