I can continue reading review after review, but I am no further along than when I started. I have read not to touch the muscle, it could cause problems. In addition, I have read if you don't do the muscle hemming, the columella can be pulled down, the surgery won't last as long and you won't get the desired look. This information came from a very reputable dr. who deals primarily with noses. Other dr.'s on the site have said similar. I am not a dr. - how can I get to the bottom of this?