Most people don’t associate bacterial infections with changes in the shape of their nose. However, certain infections can gradually damage the delicate cartilage and tissue that support the nasal structure. When left untreated, this damage can lead to a condition known as saddle nose deformity, where the bridge of the nose collapses and creates a sunken appearance.
At Saddle Nose Repair – Dr. Maurice Khosh in NYC, we specialize in restoring both the function and appearance of the nose for patients affected by this condition.
How Infections Can Affect the Nose
The nose relies on a strong internal framework of cartilage and bone to maintain its shape. Some bacterial infections can attack and weaken this structure over time.
Two of the most well-known causes include:
- Syphilis
- Leprosy (Hansen’s disease)
While these conditions are less common today, they have not been completely eradicated. According to the World Health Organization, millions of cases of syphilis are still reported each year globally, and thousands of new cases of leprosy continue to be diagnosed annually.
When these infections go untreated, they can cause chronic inflammation and tissue destruction, particularly in the nasal septum, the structure that supports the bridge of the nose.
What Is Saddle Nose Deformity?
Saddle nose deformity occurs when the nasal bridge loses support due to cartilage or bone damage. This results in a visible depression along the middle of the nose.
In addition to cosmetic concerns, patients may experience:
- Nasal obstruction or difficulty breathing
- Crusting or chronic infections
- Structural instability of the nose
The condition can develop gradually, making early symptoms easy to overlook.
Why Early Detection Matters
Bacterial infections that affect the nose often begin with subtle symptoms, such as nasal congestion, irritation, or minor structural changes. Without treatment, the infection can progress and cause permanent damage.
In the case of syphilis, for example, late-stage infection can affect multiple organ systems, including the nose. Similarly, leprosy can damage skin and mucosal tissues, leading to long-term complications if not addressed early.
Prompt diagnosis and treatment of the underlying infection are critical to preventing structural damage.
Restoring Structure with Expert Care
Once a saddle nose deformity has developed, surgical correction is often necessary to rebuild the nasal framework. This is a highly specialized procedure that requires both technical precision and an artistic approach.
Maurice Khosh is a double board-certified facial plastic surgeon renowned for his expertise in saddle nose repair. His approach focuses on restoring both the structural integrity and natural appearance of the nose.
Saddle nose repair may involve:
- Rebuilding the nasal bridge using cartilage grafts
- Reinforcing the septum for stability
- Improving airflow and breathing function
The goal is not only to correct the deformity but also to achieve a balanced, natural-looking result.
A Personalized Approach to Treatment
Every case of saddle nose deformity is different. The extent of tissue damage, underlying cause, and patient goals all play a role in determining the best treatment plan.
Dr. Khosh’s Manhattan-based practice is known for delivering customized care and exceptional results, helping patients regain both confidence and function.
Don’t Ignore Changes in Your Nose
If you’ve noticed changes in the shape of your nose, ongoing nasal issues, or have a history of infection, it’s important to seek evaluation. Early intervention can prevent further damage and improve outcomes.
At Saddle Nose Repair – Dr. Maurice Khosh in NYC, we are dedicated to helping patients restore their nasal structure with advanced techniques and expert care.
Schedule a consultation today to learn more about your options and take the first step toward restoring both form and function.








Words can not express my gratitude for his amazing life-changing work.
I had a tonsillectomy and a Neck Lump removal done on the same day.
Everything that you ever heard or read about tonsillectomy, is a dramatic over-exaggeration of people who can NOT tolerate pain.
I was so ready for a long misery and stressful recovery... Pffttt , turned out to be a really easy experience.
Dr. Khosh did an amazing job!!! Also taking in to consideration that I had 2 surgeries performed on the same day. I was out walking my dogs on day 2. Day 3 Walking dogs, doing some shopping and cooking... day 4 5 and 6 you get the picture. 0 limitations, just listened to my body and didnt overwork myself.
Just want to tell anyone and everyone who is either thinking of or NEEDS to have adult tonsillectomy done - Please don't even think twice. You get a perfect dose of painkillers, and they can solve all your pain-needs.
Dr.Khosh has an amazing warm and friendly personality, with a heart of gold and superb skills.
Susan - my comforting shoulder, and Christine - always happy and positive to brighten your day. I am forever grateful .