I want to get my hanging columella fixed. What would you recommend? (photos)

There are patients who are candidate to correct a hanging columella, but usually after they have already had a previous rhinoplasty.  On side view 2or3 mm of columella should show.  It is a simple procedure which can be performed under local anesthesia.  Yours actually isn't that bad, but it could be corrected easily by cutting out the extra cartilage which is holding the columella down.

Hanging columella is a common issue that is a result of the tip cartilage and/or the septum being pushed down excessively below the nostril. Typically we would want to only have a small area showing (columellar show should be approximately 2-3 millimeters). The treatment is done through open or closed rhinoplasty that repositions the cartilage in the appropriate location. Initially recovery peripd is 7-10 days but final results may take 1-2 years. 

I agree with many of my colleagues answers. The only point I will add is that in addition to your columella hanging down your nostrils are slightly retracted. The best result often requires pulling the collumella up as well as adding small cartilage grafts called rim grafts to support the nostril edges and subtly push them downward. Stephen Weber MD, FACS Denver Facial Plastic Surgeon