PDO thread lift vs. small procedure to improve my hanging columella?

Question

here's my natural nose, the curvature of it is more noticeable when i smile, especially looking from side profile, and from the front you see my columella hanging. I guess i have a "bottom heavy" nose. What are some options to improve or completely get rid of my hanging columella and have a less rounded nose? Would a thread lift work? I'd rather avoid a rhinoplasty as my partner is against it. But I'm open to smaller procedures requiring local anesthesia. Update: pictures added

Sam Naficy, MD, FACS · Answer

Typically the cause of what you are describing is lack of tip support.  There is no good non-surgical fix for this but it can be corrected with a relatively simple rhinoplasty

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a dorsal hump and a hanging columella. Generally, these issues are addressed with rhinoplasty surgery. I do not think that there is a minimally invasive approach to achieve a less distracting and more feminine nasal appearance. Thank you for your question. Sincerely, Dr. Joseph

Gerald Minniti, MD, FACS · Answer

Threads were never designed for the nose, and they do not affect anything more than 6 months. The nose is a complex structure of cartilages of various sizes, thickness, and shapes that are interconnected either firmly or loosely with ligaments to themselves of to bone. A rhinoplasty does not mean a cookie cutter result, and that may be driving your partner away from the idea. Using digital simulation technology, you and your surgeon can plot out how you want your result to look and maximize the potential for a satisfactory result.

Nelson Lee Novick, MD · Answer

Unfortunately, no photos were available for me to view. However, in general, I have successfully used HA fillers for treating hanging columellas. First a bolus of a more robust filler is placed at the base of the nose where it joins the face. This typically works well for raising the base and improving the profile view while diminishing the mucosal show in profile. Next, a more cohesive filler is placed in microdroplet injections along the alae further decreasing the amount of mucosal show. As injecting filler in the nasal region should not be left to the hands of novice injectors, make sure to consult with an experienced, board certified cosmetic dermatologist with experience in nasal filler injections. Best of luck.

Ronald J. Edelson, MD · Answer

I can virtually assure you that a thread lift will only be a temporary fix. Try it if you like but it will be a waste

PDO thread lift vs. small procedure to improve my hanging columella?

Answers (6)

Answer: Fillers Can Work To Diminish A Hanging Columella

Answer: Fillers Can Work To Diminish A Hanging Columella

Answer: Rhinoplasty

Answer: Rhinoplasty

Recommended reading

Everything you need to know about Nonsurgical Nose Job

Our mission is to create a world where every investment in modern beauty is Worth It.

PDO thread lift vs. small procedure to improve my hanging columella?

Answers (6)

Answer: Fillers Can Work To Diminish A Hanging Columella

Answer: Fillers Can Work To Diminish A Hanging Columella

Answer: Rhinoplasty

Answer: Rhinoplasty

Browse related questions

Recommended reading

Everything you need to know about Nonsurgical Nose Job

Our mission is to create a world where every investment in modern beauty is Worth It.