The columella is located between the nostrils. When it hangs significantly lower than the nostrils, this is called hanging columella.

A hanging columella curves downwards towards the lips. This is something that patients are typically looking to improve and make less prominent during primary rhinoplasty as well as revision rhinoplasty. Great improvement in all angles can be made with improving a hanging columella and making a more straight columella that doesn’t hang as much.