Procedures to raise a hanging columella are featured in articles that examine both the direction of the nasal tip and the appearance of an elongated nose. There are cases where the impression of an arrow nose was corrected by raising the columella and refining the nasal tip shape. Rather than conflating the position of the columella with that of the nasal tip itself, see which specific areas are being highlighted in the photos.
These records also include revision rhinoplasty cases where previous silicone implants were removed while simultaneously addressing a hanging columella and excessive nostril show. Under the broad theme of long nose correction, the procedures performed on the implant, columella, and nasal tip may vary. Rather than focusing solely on nasal length measurements, focus on reading which anatomical structures appeared drooping in the original text and what adjustments were made.
View before-and-after cases ↓Comprehensive rhinoplasty guide
A case where a short, upturned nasal tip and a drooping columella in an unoperated nose were corrected through septal extension. A strut was built using donor rib cartilage and septal cartilage, accompanied by columellar elevation and silicone implant placement.
Performed or used in this surgery
After 6 previous surgeries, a drooping and tilted columella, crooked nose, and nostril asymmetry were stabilized through a closed approach using autologous rib cartilage reinforcement, lateral osteotomy, and columellar alignment correction.
Performed or used in this surgery
Following prior surgery with a silicone implant and ear cartilage, the patient presented with a long, drooping columella and a crooked nose. The ear cartilage was replaced with autologous rib cartilage, the nasolabial angle was adjusted, and septal correction was performed.
Performed or used in this surgery
A case of a drooping columella, crooked nose, and nostril show following prior filler, Misko, and silicone rhinoplasty. Autologous rib cartilage reconstruction and alar rim grafts were performed after implant removal.
Performed or used in this surgery
This is a case where the nasal bones, septum, and keystone area were damaged after repeated surgeries, causing nasal obstruction due to nasal valve stenosis. Autologous rib cartilage was used to reconstruct the nasal support structure and nasal valve, while correcting bridge depression and asymmetry.
Performed or used in this surgery
To resolve thinned nasal tip skin and cartilage show-through caused by repeated surgeries, retroauricular autologous dermis grafting, lateral osteotomy, and columellar elevation were performed.
Performed or used in this surgery
A case of a 22-year-old female patient with a long nose, a dorsal hump, and rhinitis symptoms, who underwent septal extension, hump reduction, lateral osteotomy, and silicone implant insertion.
Performed or used in this surgery
A case presenting facial asymmetry alongside a dorsal hump, a crooked nose, and a drooping columella. Using a closed approach, nasal tip correction with autologous rib cartilage, dorsal hump reduction, lateral osteotomy, and silicone implant placement were performed.
Performed or used in this surgery
To address a contracted and upturned nose with nostril asymmetry resulting from inflammation and implant removal, stem cell therapy was performed first, followed by autologous rib cartilage septal extension, alar rim grafting, and silicone nasal bridge augmentation.
Performed or used in this surgery
To correct a long drooping arrow-shaped nose, dorsal hump, and nostril asymmetry, septal extension with septal and donor rib cartilage, lateral osteotomy, and hump trimming were performed via a closed approach.
Performed or used in this surgery
A case where deviation recurred following previous septal surgery, leaving nasal obstruction and a tilted columella. We planned septal reconstruction using autologous rib cartilage and documented changes in the nasal tip, columella, and nostril asymmetry after surgery.
Performed or used in this surgery
This is a case of a patient concerned about a nose that still looked long due to a residual dorsal hump and a drooping tip even after a previous surgery. The nasal bone and upper lateral cartilage were refined, the nasal tip and columella were corrected, and a thin silicone implant was placed to cover irregularities.
Performed or used in this surgery
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There are records explaining that the impression of an arrow nose was corrected by raising a hanging columella and refining the nasal tip shape. In these accounts, you can see how the columella and nasal tip were addressed individually. Rather than assuming the change in perceived length came from adjusting only one area, look at the separate correction steps detailed in the surgical process.
There are cases where a hanging columella was raised and excessive nostril show was improved while removing a silicone implant from a previous surgery. These records document implant removal and repositioning of the columella within the same operation. In such cases, it is more accurate to view the before-and-after results not simply as the outcome of implant removal alone, but as the combined effect of the adjustments made to the columella and nostrils.
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