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Saddle Nose Deformities: Understanding Surgical Causes and Treatment Options

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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.

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.