Check out Dr. Lamperti's latest Rhinoplasty in Seattle blog post in which he discusses the case of one of his male revision rhinoplasty patients. He reviews the options when it comes to treating excessive columellar show related to both a hanging columella and alar retraction.
You can head over to my Rhinoplasty website to read more about hanging columella and alar retraction repair case. In the meantime here are a few before and after photos.