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Surprising Causes of Saddle Nose Deformities

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Saddle nose deformities occur when the nose structure is damaged, causing the bridge of the nose to collapse. The most common causes of this nose condition are trauma to the nose or surgical complications. When the nose is impacted by force or weakened from surgeries like rhinoplasty or septoplasty, a saddle nose deformity can occur. However, other less-known causes of damage to the nose cartilage can result in a concave bridge or over-rotated nasal tip.

Intranasal Drug Use

Drugs that are inhaled through the nose can cause damage to the cartilage. These can include recreational drugs like cocaine that are often “snorted” through the nose. Habitual nasal spray use can also damage the nasal cartilage. Excessive use of intranasal drugs can result in weakened septum cartilage which can collapse, resulting in breathing issues and a deformity of the nose.

Stopping intranasal drug use can prevent damage to the nasal cartilage, but the nose will not repair itself. Cartilage does not regenerate like other tissues – the only way to restore the structure of the nose is through plastic or reconstructive surgery. Saddle nose repair surgery usually requires harvesting cartilage from other areas to graft inside the nose to create a new nasal structure.

Autoimmune Disorders

Autoimmune disorders are conditions when the body’s immune system backfires. It can begin attacking tissues in the body like they are a threat. This can include cartilage in the joints as well as the nose. If the cartilage in the septum is weakened from an autoimmune disease, it may collapse the nasal valves, bridge, or nasal walls. Wegener’s disease, granulomatosis polyangiitis, and relapsing polychondritis are some of the autoimmune diseases that can result in saddle nose deformities.

Early treatment of autoimmune disorders that are causing nasal cartilage damage can help prevent a saddle nose deformity. However, if enough damage occurs, the septum and nasal tissues could collapse in the future.


Certain bacterial infections can attack the cartilage in the nose and weaken the nasal structure. While not common, bacterial infections such as syphilis (a sexually transmitted disease) and leprosy can result in nasal cartilage deterioration. Over time, the nasal bridge can become concave and cause breathing and aesthetic concerns.

Syphilis can be treated with antibiotics, but it often goes undetected. Leprosy can also be treated in the early stages. Unfortunately, these infections can cause irreversible damage to the nasal cartilage when they are in the later stages.

Saddle Nose Deformity Repair in NYC

If you have a saddle nose deformity from trauma, previous surgery, infection, disease, or drug use, there are solutions to restore your nose form and function. Contact us at Saddle Nose Repair – Dr. Maurice Khosh is a dual-board certified facial plastic and reconstructive surgeon specializing in rhinoplasty for saddle nose deformities. Call our office in NYC to schedule a rhinoplasty consultation with Dr. Khosh.

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.