Would I need a rhinoplasty if I want to make changes to my columella or are there less invasive options? (photos)

Based on your photos, you are a great candidate for rhinoplasty. If you are not concerned about the bump, you can have just a tip rhinoplasty to improve the columella and projection. But taking the bump down a bit would look nice as well. Be sure to see rhinoplasty experts for consultation.

You can have a rhinoplasty surgery limited to the tip an columella areas of your nose to address your concerns. The surgical approach will be the same but the surgery itself is less invasive than a full rhinoplasty.

I believe that you would benefit from an open rhinoplasty to help with the goals you have described. An open rhinoplasty would allow the skin to be reduced and redrape appropriately over the reduced columellar size/projection/length. I would highly recommend seeing a board-eligible of board-certified plastic surgeon with rhinoplasty experience, particularly one with 3D imaging that is capable of simulating your surgery so you can be on the same page regarding the outcome. Best of luck.

Based on these photos, there seem to be several issues that could be improved on your nose, beside hanging columella? It would be in your best 9iinterest to discuss this issue in person with a board certified plastic surgeon, expert in rhinoplasty. Good luck.

When treating one element of the nose- all other aspects of the nose need to be addressed in order to achieve the best result. Based on your limited photos- you appear to be a good candidate for Rhinoplasty preferably performed through a closed technique. I suggest that you seek an experienced Board Certified PS

Hi @T1308. I recommend seeing an experrt rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. Best of luck to you, Dr. Nima!

You have what is known as a hanging columella. The reason is that the lower end of the septal cartilage is too long. It just needs to be cut back a few millimeters. Very simple. Could be done under local anesthesia. There are other more complicated techniques some of which involve cartilage grafting. Keep this simple

Based on your photos, you appear to have a profile hump, a long nasal appearance, and excessive show from a hanging columella. Depending on your examination, Rhinoplasty surgery may be considered for achieving repair of you're hanging columella, along with hump reduction for a less distracting, and more feminine nasal appearance. Consider consulting with several reputable rhinoplasty specialists so you could see what might be best for you moving forward. Sincerely Dr Joseph

A long columella can be reduced under local anesthesia in the office. It is quick and no down time.
Watch the video below to see how it is done.
Regards
Dr. J

Hello! Thank you for your question.I have evaluated your case from the photos and information you provided. From what I can see on your photos, it looks like you have hanging columella. It is really noticeable from side and even more from front (especially when you smile). The best way to modify it and give a more elegant look, is to get a rhinoplasty surgery. I can understand that you are a bit afraid of the procedure, but believe me from my experience patients don't have that much pain after the surgery. The healing and recovery change from one patient to an other but it all depends on you. Best regards!