Which procedure can help me correct a crooked columella? (photos)

Hello! Thank you for your question. As far as I can see from your photo you have strong dorsal hump and very droopy tip. For gain more straight, elegant and defined looking, I highly recommend you rhinoplasty surgery. It would be more convenient to decide with face-to-face consultation. Best Regards!

Dear Creative286265,
Thankyou for providing pictures as a reference. In my professional opinion you may benefit from closed atraumatic rhinoplasty which can address your concern in the least invasive way without cutting the tip of the nose. Additionally, your nose can be straightened and the tip can be reduced and defined and if you have any functional issues, they can also be addressed at the same time. I am attaching a link for before and after of this procedure if you would like to look deeper into this surgery.
Best Regards,
TAS TEAM

It is possible to correct it. The majority of our patients with rhinoplasty request surgery because they have curved noses.

There appears to be asymmetry of the lower lateral cartilages of your nasal tip. Freeing these from their attachments to each other and the septum and securing them in a symmetric fashion may be all that is necessary. If your septum is deviated caudally (towards the end) that should be repaired at the same time.

A rhinoplasty to just reshape your tip cartilages would be ideal. I believe the issue is your medial crura which are prominent and slightly asymmetric. With sutures this can be corrected.

Based on your photos, you appear to have thin nasal skin, a wide and slightly crooked tip, and a small profile bump. The ONLY way to achieve a definitive answer to your question is to be examined. A deviated nasal septum may lead to a crooked nasal appearance, and the only way to know is to be examined by a reputable rhinoplasty specialist. Hope this helps! Dr Joseph

Very often the lower edge of the septal cartilage pokes to one side or the other making the columella crooked. It appears that is you case with you. Simply shortening the caudal septum several millimeters will help. Some surgeons try to straighten the cartilage with grafts. That’s the complicated way. Just snip off the lower edge of cartilage.

Thanks for your question. Photos are a poor substitute for an in-person exam, but it appears that you may benefit from a rhinoplasty procedure if you would like to change the appearance of your nasal tip and columella. It is difficult to see the columella in these photos, usually it requires a "worms-eye" camera angle, looking up. Take care.