Nose types
Hanging columella
A “hanging columella” is when there is excess columella, the column between the nostrils, making it look like a “hanging bridge”.
This overgrowth of the columella can be an isolated defect or part of a set of changes within rhinoplasty planning.
There are different techniques to correct it. In all of them, the goal is to make it less visible when looking at the patient from the front and in profile.
Assessment looks at the columella from the front, in profile and from the nasal base. It determines whether the excess is mucosal, caudal septal cartilage or both, and whether it is associated with a drooping tip, over-projection or other changes.
Correction aims to reposition or reduce that excess without shortening the columella too much or altering the relationship between the nostrils. The step is integrated into the rest of the plan when other modifications are planned.
After surgery, columellar show usually lessens progressively as swelling decreases. Follow-up visits check base symmetry and how natural the profile looks.
Before and after
Rhinoplasty: dorsal hump, over-projected nose, droopy tip, deviated nose, hanging columella and thick skin – Case 10
Primary rhinoplasty · Dorsal hump · Over-projected nose
2 months after
Rhinoplasty: dorsal hump, over-projected nose, droopy tip, hanging columella and thick skin – Case 17
Primary rhinoplasty · Dorsal hump · Over-projected nose
4 months after
Rhinoplasty: dorsal hump, over-projected nose, wide or irregular dorsum, deviated nose, hanging columella and thin skin – Case 28
Primary rhinoplasty · Dorsal hump · Over-projected nose
2 months after
Rhinoplasty: dorsal hump, bulbous tip, deviated nose and hanging columella – Case 30
Primary rhinoplasty · Dorsal hump · Bulbous tip
2 months after
Rhinoplasty: undefined tip, deviated nose, hanging columella and thick skin – Case 42
Primary rhinoplasty · Undefined tip · Deviated nose
4 months after
Rhinoplasty: curved nose, hanging columella, thin skin and secondary rhinoplasty – Case 55
Secondary rhinoplasty · Curved nose · Hanging columella
2 months after
Rhinoplasty: dorsal hump, droopy tip, undefined tip, wide or irregular dorsum and hanging columella – Case 58
Primary rhinoplasty · Dorsal hump · Droopy tip
6 months after
Rhinoplasty: dorsal hump, droopy tip, under-projected tip, wide or irregular dorsum, hanging columella and thin skin – Case 60
Primary rhinoplasty · Dorsal hump · Droopy tip
6 months after
Rhinoplasty: dorsal hump, over-projected nose, hanging columella and thin skin – Case 63
Primary rhinoplasty · Dorsal hump · Over-projected nose
4 years after
Rhinoplasty: dorsal hump, hanging columella and thin skin – Case 77
Primary rhinoplasty · Dorsal hump · Hanging columella
4 months after
Rhinoplasty: dorsal hump, droopy tip, bulbous tip, wide or irregular dorsum, hanging columella and thin skin – Case 82
Primary rhinoplasty · Dorsal hump · Droopy tip
4 months after
Rhinoplasty: dorsal hump, over-projected nose, bulbous tip, hanging columella and thin skin – Case 88
Primary rhinoplasty · Dorsal hump · Over-projected nose
2 months after
Rhinoplasty: dorsal hump, over-projected nose, droopy tip, deviated nose and hanging columella – Case 90
Primary rhinoplasty · Dorsal hump · Over-projected nose
4 months after
Rhinoplasty: dorsal hump, droopy tip and hanging columella – Case 91
Primary rhinoplasty · Dorsal hump · Droopy tip
4 months after
Rhinoplasty: dorsal hump, droopy tip, wide or irregular dorsum and hanging columella – Case 94
Primary rhinoplasty · Dorsal hump · Droopy tip
2 months after
Rhinoplasty: dorsal hump, under-projected tip and hanging columella – Case 104
Primary rhinoplasty · Dorsal hump · Under-projected tip
2 months after
Rhinoplasty: dorsal hump, wide or irregular dorsum and hanging columella – Case 109
Primary rhinoplasty · Dorsal hump · Wide or irregular dorsum
6 months after
Rhinoplasty: droopy tip, hanging columella and secondary rhinoplasty – Case 131
Secondary rhinoplasty · Droopy tip · Hanging columella
2 months after
Rhinoplasty: dorsal hump, over-projected nose, under-projected tip, hanging columella and thin skin – Case 143
Primary rhinoplasty · Dorsal hump · Over-projected nose
2 months after
Rhinoplasty: dorsal hump, wide or irregular dorsum, hanging columella and saddle nose – Case 160
Primary rhinoplasty · Dorsal hump · Wide or irregular dorsum
Rhinoplasty: dorsal hump, droopy tip, under-projected tip, hanging columella and alar base surgery – Case 162
Primary rhinoplasty · Alar base surgery · Dorsal hump
Rhinoplasty: dorsal hump, over-projected nose, under-projected tip, hanging columella and thick skin – Case 164
Primary rhinoplasty · Dorsal hump · Over-projected nose
Rhinoplasty: dorsal hump, over-projected nose, under-projected tip and hanging columella – Case 188
Primary rhinoplasty · Dorsal hump · Over-projected nose
Rhinoplasty: dorsal hump and hanging columella – Case 189
Primary rhinoplasty · Dorsal hump · Hanging columella
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