Saddle Nose Deformities: Understanding Surgical Causes and Treatment Options

The saddle nose deformity, also known as a “boxer’s nose,” is a condition characterized by the collapse or depression of the bridge of the nose. It can result from various causes, from blows to the nose and infections to surgical interventions being a prominent contributor to this condition. Let’s explore the surgical causes of saddle nose deformities and the treatment options available.

Septoplasty and Rhinoplasty Complications

Saddle nose deformities often arise as complications of septoplasty and rhinoplasty surgeries. Septoplasty, which aims to correct a deviated septum, and rhinoplasty, a cosmetic procedure to alter the nose’s appearance, can inadvertently weaken the nasal structure. Improper surgical techniques, excessive tissue removal, or inadequate structural support can lead to the collapse of the nasal bridge.

Saddle nose deformities from surgical causes can vary in severity and may present with the following symptoms:

• Nasal Congestion: A collapsed nasal bridge can obstruct the nasal airway, leading to chronic congestion and breathing difficulties.
• Cosmetic Concerns: The visible depression in the bridge of the nose can be aesthetically displeasing, causing self-esteem issues and affecting a person’s confidence.
• Nasal Collapse: In severe cases, the deformity can progress, causing further collapse and deformity of the nasal structure. This creates the “saddle” appearance with the depressed or concave bridge and possibly a rotated nasal tip.

Saddle Nose Treatment Options

Treatment for saddle nose deformities caused by rhinoplasty or septoplasty usually requires surgery to repair the damage. The following procedures may be used to restore the nasal structure for form and function:

• Rhinoplasty Revision: For saddle nose deformities resulting from previous rhinoplasty surgeries, revision rhinoplasty may be recommended. Dr. Maurice Khosh can reconstruct the nasal bridge using cartilage grafts, implants, or other techniques to restore the nose’s natural shape and function.
• Septal Reconstruction: If the deformity results from septoplasty complications or septal perforations, surgical repair of the nasal septum may be necessary. This procedure aims to strengthen and stabilize the nasal septum.
• Nasal Implants: In cases of severe structural damage or loss of cartilage, synthetic or biological implants may be used to rebuild the nasal bridge. These implants provide support and help restore the nose’s appearance.
• Autologous Grafts: Autologous grafts, which involve using the patient’s own cartilage (often harvested from the ear or rib), are often used to reconstruct the nasal bridge and provide structural support.
• Functional Improvements: In addition to addressing the cosmetic aspect, treatment may also focus on improving nasal breathing and functionality through various surgical techniques.

It is important to note that successful treatment of saddle nose deformities requires careful evaluation by an experienced facial plastic surgeon such as Dr. Khosh, who specializes in saddle nose repairs. Each case is unique, and Dr. Khosh customizes treatment plans to the individual’s specific needs and goals.

Saddle nose deformities can result from surgical causes such as septoplasty and rhinoplasty complications, as well as other causes. These deformities can have significant functional and cosmetic implications. If you have a saddle nose deformity resulting from previous surgery, contact our team at Saddle Nose Repair – Dr. Maurice Khosh can evaluate your nose damage and recommend a treatment plan to reshape your nose and restore nasal function at his office in NYC.