Is there a way to lower the columella (including the base) like this? (Photo)

It's not clear what you are looking to achieve with a 4th surgery. If you want permanent bridge raising for less of a curve, you may consider a permanent, non-surgical nose job with microdroplet Silikon-1000. Hope this helps! Dr Joseph

I even think that the "nose photoshopped" picture shows more projection than I think is in an ideal range. Then, sometimes, when you deproject a nose, it makes it *seem* as though the tip dropped, that the nose is longer from top to bottom. So it's important to look at that factor, and elevate...

Based on your photo, your bridge does not appear wide and deformed. Perhaps you could reask your question with before and after photos to better demonstrate your concerns. Thank you. Dr Joseph

In our experience, microdroplet Silikon-1000 nasal injections may be considered for achieving permanent nostril lowering. Sometimes asymmetrical nostril retraction may result after previous rhinoplasty. An examination would be necessary to determine your candidacy for a permanent non-surgical...

Hi @Phenomenal451973! Swelling after a rhinoplasty can last up to 1 year. I would wait the full 12 months and if you are still not satisfied, I would consider a revision rhinoplasty. Best of luck!

I can see your nose looks a bit wider after surgery, but this may be more noticeable to you than to others. The best way to determine your candidacy for revision is to visit several reputable rhinoplasty specialists. Hope this helps! Dr Joseph