Columella show is sometimes misconstrued by the patient. This is because of the delicate relationship between the alar rim and the columella. Sometimes the columella show is due to a retracted alar rim which can result from weak alar rims or over aggressive excision of alar cartilage during a rhinoplasty. A hanging columella is one in which the columella is pushed down and \\u201cshows\\u201d more than normal. Treatment of columella show due to alar retraction can be performed using alar grafts to strengthen the alar rim cartilages. Sometimes if there is severe retraction, a composite graft of cartilage and skin can be placed internally to lower the alar rim. If there is a hanging columella, this is often due to a prominent caudal septum pushing the columella downward. Treatment of a hanging columella can be as simple as trimming the caudal septum.