Is it possible to lengthen the columella and get more "interlobar" tissue, while also reducing the curve from the side? (Photo)

A revision rhinoplasty can certainly address the issues you discuss. A graft can be placed on the bridge to remove the curve, and a septal extender with plumping grafts can give more columellar show. Be sure to see a rhinoplasty expert for consultation.

On your photos, since you appear to have a relatively pleasing nasal appearance, it may be best to not consider further surgery. A retracted columella is difficult to treat non-surgically, however, if you would be happy with a higher, more masculine nasal bridge appearance, depending on your examination, microdroplet Silikon-1000 injections maybe considered for permanently raising your bridge to lead to a straighter and more masculine nasal profile appearance, without undergoing for the surgery. I hope this helps! Sincerely, Dr Joseph

Hello and thank you for your question. Based on your photographs, you may benefit from a revision with placement of a columellar onlay graft. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon