Do I have a hanging columella?

if your original nose was shorter and upturned, your revision looks generally quite nicemost people seeking revisions who report a 'hanging columella' actually have retracted nostrils secondary to over-resected tip cartilages....your tip and alar rims.look good ... you DO in fact have a slightly malpositioned columellathere are 2 issues to address in your case: the first is your low nasal spine (where your nose meets your upper lip) and the second is the position of your columella itself... although there are a few methods described to deal with these, I prefer a straightforward nasal spine adjustment and a 'tongue-in-groove' repositioning of the columella by fixing the medial crus of the lower lateral cartilage to the caudal septum or a septal extension graft if the caudal serum is deficient.good luck

  Yes, there is a hanging columella present and a prominent nasal spine.  This can be improved with a columella-plasty.