How a Previously Broken Nose Can Lead to a Saddle Nose Deformity

A broken nose may seem like a minor injury at first, often dismissed with some ice and rest. But when nasal trauma is not properly treated, it can lead to serious long-term consequences, including the development of a saddle nose deformity. This condition not only alters the appearance of the nose but can also affect nasal function and breathing quality.

At his Manhattan practice in New York City, double board-certified facial plastic surgeon Dr. Maurice Khosh is a leading authority in saddle nose repair and reconstructive nasal surgery. With extensive experience in both cosmetic and functional nasal procedures, Dr. Khosh helps patients restore their facial balance and breathing after trauma-related complications.

What Is a Saddle Nose Deformity?

A saddle nose deformity, also known as a “collapsed nose,” refers to a visible depression in the bridge of the nose, resembling the shape of a saddle. This deformity occurs when the structural support of the nose, usually the cartilage and/or bone of the nasal septum, is weakened or destroyed. Without proper support, the nasal bridge caves inward, leading to a flattened, scooped-out appearance.

How Broken Noses Lead to Saddle Nose

One of the most common causes of saddle nose is trauma, especially a previously broken nose that was never correctly realigned or repaired. Here’s how that damage can evolve into a deformity:

• Septal Damage: A nasal fracture often involves the nasal septum, the central cartilage and bone structure that separates the nostrils. If septal cartilage is fractured or disrupted and not repaired, it can deteriorate or die over time (a process known as septal necrosis).
• Loss of Support: As the septum weakens, it can no longer support the nasal bridge, causing it to collapse inward.
• Scarring and Asymmetry: Improper healing can also result in scar tissue and asymmetry, compounding both aesthetic concerns and breathing issues.
• Delayed Deformity: The saddle shape doesn’t always appear immediately. It can take months or even years for the structural damage to reveal itself, which is why many patients are unaware of the link between their past injury and their current nasal collapse.

According to the American Academy of Facial Plastic and Reconstructive Surgery, nasal trauma is one of the most frequent causes of structural deformities in the nose, and a significant portion of these injuries occur in adolescence or early adulthood, when long-term consequences may not be top of mind.

The Importance of Expert Saddle Nose Repair

Dr. Maurice Khosh brings a unique combination of expertise in facial plastic surgery, reconstructive procedures, and ENT (ear, nose, and throat) care, making him exceptionally qualified to address both the form and function of the damaged nose.

With an extensive education and over two decades of surgical experience, Dr. Khosh is known for his technical precision, artistic approach, and patient-centered care. He frequently treats complex nasal deformities—including revision cases—and has been featured in medical journals, conferences, and media as a thought leader in facial reconstruction.

At his New York City practice, Dr. Khosh uses advanced techniques such as cartilage grafting (often from the ear or rib), open rhinoplasty, and custom surgical plans to rebuild the nasal structure and restore normal appearance and airflow.

Schedule a Consultation in NYC

If you’ve suffered a broken nose in the past and are now noticing a dip or collapse in your nasal bridge, you may be developing a saddle nose deformity. Don’t wait until the condition worsens. Dr. Maurice Khosh can help you breathe better and feel more confident with expert saddle nose repair tailored to your needs.

Contact our Manhattan office today to schedule a private consultation and take the first step toward restoring the form and function of your nose.