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How Does Saddle Nose Surgery Differ from Rhinoplasty?

Woman covering her nose with her hand.

The most obvious sign of a saddle-nose deformity is a decrease in the nose’s dorsal height. The condition occurs when the nose is too short or the cartilage and bone that hold it together are damaged. Such anatomic abnormalities can negatively impact the nose’s functional and aesthetic qualities. “Pug nose” and “boxer’s nose” are other names for dorsal nasal depression. Both of these names refer to different degrees of saddle-nose deformity.

Saddle nose surgery can correct anatomic abnormalities of the nose and give it the structural support it needs to function correctly. While saddle nose surgery is a form of rhinoplasty, it is not the same as a standard “nose job.” The procedure is more complex, requiring a cartilage graft and extensive reshaping. Such an intensive operation requires a highly experienced plastic surgeon like Dr. Maurice Khosh, who specializes in this complex form of nose reconstruction.

Why is Saddle Nose Surgery Not Your Typical “Nose Job?”

Most rhinoplasty operations aim to make the nose smaller, eliminate the bump on the bridge or narrow the nostrils. The nose needs merely to be shaved or reshaped into a different profile. On the other hand, a saddle nose needs to be wholly reshaped because certain structural elements are missing or have collapsed. In addition, the upper and lower lateral cartilages of the nose and the septum are often damaged.

What is a Cartilage Graft?

A cartilage graft adds structure and tissue to the nose using cartilage from another body part. For instance, we often use cartilage from the septum, the ear or (very rarely) the rib. Because cartilage transplants use your tissue, they are safe and there is no risk of the transferred tissue being rejected.

Cartilage grafts are used to reinforce the framework of the nose. They can help to support the tip, broaden the nasal passageways, extend the nose and improve breathing problems. They offer numerous potential benefits and are a safe and effective rhinoplasty solution when performed by a skilled surgeon.

Do You Need Saddle Nose Surgery?

Contact Dr. Khosh’s New York office if you have a significant saddle nose deformity and want to set up a consultation. He finds satisfaction in the challenge of correcting saddle nose malformations, and his patients have benefited from the remarkable outcomes he has produced. The improvement in quality of life for those with a saddle nose deformity makes it worth the additional difficulty of doing a saddle nose rhinoplasty.

What Dr. Khosh's Patients Say


Based on 55 reviews

Meredith G.
Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!
Jackie C.
Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results
Kaitlin M.
Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.
Diana G.
Dr. Khosh & his staff Susan & Christine are absolutely amazing! They were so supportive & helpful from beginning to end & they are just wonderful people. Thank you guys I truly appreciate everything you guys have done for me. I would recommend them to anyone & everyone!
Joann M.
After visiting and being evaluated by several doctors, I kept going back to Dr. Khosh. His tranquil spirit and professionalism were captivating. Thank you for a job well done and keeping me calm throughout the entire process. A special thanks to your staff Susan and Christine for all of their support as well. Hi highly recommend Dr. Khosh.
Leah G.
Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!
Courtney G.
AMAZING!!!!!! I had Dr Khosh perform lipo on my chin/neck and my result is unbelievable! Better than I could have expected! I met with a couple of surgeons and the second I met with Dr Khosh I knew he was the one I was going with. He was compassionate and explained every detail of what would take place during the surgery and what to expect during recovery. I even emailed a few times during recovery with various questions and he got right back to me asap which was really comforting! I honestly fully recommend Dr Khosh, he did an amazing job and is an amazing person.
Frieda S.
i can finally breathe!! Dr. Khosh made the entire experience a breeze, it was truly a pleasure to be under his care. I am forever thankful and highly recommend him. Not only does his work speak for himself, but he has excellent bedside manner. His kindness and patience is above and beyond. He takes the time to answer to every question you have to help you understand the process while at the same time making you feel so comfortable. From the first consultation i knew i was in good hands. I am so pleased with the result and forever thankful.
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Saddle Nose Repair
Facial Plastic & Reconstructive Surgery
Nasal & Sinus Surgery

580 Park Avenue Suite 1BE,
New York, NY 10065
(212) 339-9945
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Maurice M. Khosh, MD, FACS office lobby. Purple walls, mirror, an orchid on a beautiful table.