Can you fix a hanging columella after primary rhinoplasty? (Photo)

Click on the "Learn more" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_debbie414.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that I'd like to see, based on these photos that you posted.There is a limit to the amount of elevation of the columella that can be achieve, but I elevated some of the columella. But there are other changes that I think could help a lot. For example, you'll see, particularly in the animation, that I brought the tip (and the bridge) of your nose back closer to your face. That change would help make the columella and the entire nose less prominent and less noticeable.Then, I paid particular attention to lowering the bridge of your nose up where it begins, between your eyes.  That area wasn't lowered in your first operation, so your profile line sort of slides from your forehead onto your nose, without the little dip we expect to see in front of the eyes. Again, you'll probably see that best in the animation.Here's a picture of a Roman statue, where there's no dip in front of the eyes. Cut and paste it into a browser tab:
FacialSurgery.com/RealSelf/RomanStatue.jpgYou should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Learn more" link on how to stay out of trouble while searching for a rhinoplasty surgeon, and how to tell whether your previous surgeon should be performing your revision. Rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read that page very carefully. Most plastic surgeons are quite poor at this operation, and I believe my advice will go a long way toward keeping you safe.
I'd love to hear what you think of the morph. Did it seem to address your main concerns? I could modify the morph to your taste if you wish.
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery. 

Hello,
It's difficult to asses the result without a complete set of before/after photos and a physical examination.  However, a hanging columella and/or alar retraction are correctable problems with revision surgery. I recommend reconsulting with your surgeon to determine whether the cause of this issue was surgical or simple omission during your procedure.
Best of Luck,