6 years ago, I had a nose surgery in my neighborhood without even thinking about it, and my columella has come down so much that I look like a devil when I smile. I put a thread in and raised the end with ear cartilage, and I liked the way it looked after the surgery, but it started to come down slowly, and I had no choice but to think about having another surgery. People are using a lot of nasal septum these days, but since it is still cartilage, it will sag over time, right?