How Autoimmune Diseases Can Contribute to a Saddle Nose Deformity

At Dr. Maurice Khosh’s facial plastic surgery practice, Saddle Nose Repair, in New York City, we often see patients suffering from the consequences of autoimmune diseases that affect the structural integrity of the nose. One of the most visible and functionally impactful outcomes is a saddle nose deformity. This condition, marked by a collapse of the nasal bridge, not only changes the aesthetic profile of the face but can significantly impair nasal airflow and overall quality of life.

Saddle Nose Deformity Caused by Autoimmune Diseases

Saddle nose deformity occurs when the nasal bridge loses its support, causing a depression or collapse in the middle third of the nose. While trauma and previous surgeries are common causes, several autoimmune conditions are known to attack cartilage and compromise nasal structure. The following autoimmune diseases are particularly associated with this type of deformity:

Granulomatosis with Polyangiitis (Wegener’s Granulomatosis)

This rare condition involves inflammation of the blood vessels and can destroy the cartilage and bone within the nose. Patients may experience chronic nasal inflammation, crusting, and frequent nosebleeds, which over time lead to cartilage breakdown and bridge collapse.

Relapsing Polychondritis

Relapsing polychondritis is an episodic, progressive disorder characterized by recurrent inflammation of cartilaginous structures throughout the body, including the nose. Repeated inflammation leads to deterioration of the nasal cartilage, causing deformities such as saddle nose.

Sarcoidosis

Sarcoidosis can produce granulomas (clusters of inflammatory cells) that affect the nasal tissues. While less commonly associated with severe nasal collapse, chronic inflammation from sarcoidosis can eventually lead to cartilage weakening and structural deformity.

Autoimmune-related saddle nose deformities often develop slowly and may initially present as chronic nasal symptoms before visible collapse occurs. Early diagnosis and medical management are crucial to slowing progression, but in advanced cases, surgical reconstruction becomes necessary.

Reconstructive Rhinoplasty for Autoimmune-Related Saddle Nose

Dr. Maurice Khosh specializes in complex nasal reconstruction, including saddle nose repair for patients affected by autoimmune conditions. Restoring the structure of the nose not only improves appearance but also reestablishes nasal function.

Goals of reconstructive rhinoplasty include:

• Restore nasal bridge height and contour
• Reinforce structural support using grafts
• Improve nasal airflow and breathing

Enhance overall facial harmony and self-esteem

Depending on the extent of the deformity, Dr. Khosh may use cartilage grafts from the patient’s septum, ear (conchal cartilage), or rib. These grafts are sculpted and strategically placed to rebuild the nasal framework and prevent future collapse.

Patients with autoimmune diseases must be carefully evaluated to ensure that inflammation is controlled before proceeding with surgery. A collaborative approach with rheumatologists or immunologists is often necessary to optimize timing and outcomes.

Personalized, Expert Care in NYC

Saddle nose deformity caused by autoimmune disease requires a highly skilled surgeon with a deep understanding of both facial aesthetics and the challenges of reconstructive nasal surgery. Dr. Maurice Khosh offers expert, compassionate care tailored to each patient’s unique needs.

If you are experiencing nasal collapse due to an autoimmune condition, schedule a consultation with Dr. Khosh at Saddle Nose Repair in NYC to explore safe, effective options for restoring nasal form and function.