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The First Signs of a Saddle Nose Deformity

close up on a womans nose

A saddle nose deformity can significantly affect both the appearance and function of your nose, leading to aesthetic concerns and potential breathing difficulties. At Saddle Nose Repair, a division of the practice of Dr. Maurice Khosh in NYC, we specialize in the early diagnosis and treatment of saddle nose deformities, helping patients restore their nasal structure and overall confidence. Understanding the first signs of this condition is crucial, as early detection can make the repair process easier and less invasive.

What Is a Saddle Nose Deformity?

A saddle nose deformity is characterized by a collapse or depression in the bridge of the nose, which gives it a scooped or “saddle-like” appearance. This condition occurs when there is a loss of support in the nasal structure, specifically the cartilage that forms the bridge. The deformity can vary in severity, from a slight indentation to a more pronounced collapse that affects both the form and function of the nose.

Common Causes of Saddle Nose Deformity

Saddle nose deformities can develop slowly over time or as a result of a specific event or condition. Some of the most common causes include:

  • Autoimmune Diseases: Conditions such as granulomatosis with polyangiitis (formerly known as Wegener’s granulomatosis), relapsing polychondritis, and other autoimmune disorders can lead to inflammation and destruction of the nasal cartilage. Over time, this damage weakens the nasal structure, causing it to collapse inward.
  • Trauma: A direct injury to the nose, such as a fracture from an accident or sports injury, can damage the nasal cartilage and result in a saddle nose deformity. Even if the initial injury seems minor, cartilage damage can progress over time, leading to a noticeable deformity later on.
  • Intranasal Drug Use: Chronic use of intranasal drugs, such as cocaine, can severely damage the blood vessels and tissues within the nose. This leads to a loss of cartilage and support, resulting in a collapsed nasal bridge.
  • Surgical Complications: Previous nasal surgeries, particularly if they involved cartilage removal or extensive reshaping, can sometimes weaken the nasal structure, leading to a saddle nose deformity if not done properly.
  • Infections: Severe or chronic nasal infections can also compromise the integrity of the nasal cartilage, contributing to the development of a saddle nose.

Early Signs of a Saddle Nose Deformity

Recognizing the early signs of a saddle nose deformity can be key to receiving timely treatment and preventing further collapse. Some of the first indicators that your nasal structure may be weakening include:

  • A Slight Depression or Dip in the Nasal Bridge: One of the earliest signs is a subtle indentation or dip along the bridge of your nose. This may not be immediately noticeable, especially if the change is gradual, but it can become more apparent over time.
  • Nasal Obstruction or Breathing Difficulties: As the nasal bridge begins to collapse, you may notice changes in your breathing. This can include a sensation of nasal blockage or difficulty breathing through one or both nostrils, which can worsen as the deformity progresses.
  • Changes in the Shape or Angle of the Nose: A saddle nose deformity can alter the overall shape or profile of your nose, leading to changes in its appearance from different angles. For instance, the tip of the nose may start to droop, or the nose may appear shorter than it used to.
  • Nasal Pain or Discomfort: In some cases, there may be pain or tenderness in the nasal area, particularly if the deformity is related to trauma or an active inflammatory process.

The Importance of Early Intervention

Catching a saddle nose deformity early can make the correction process simpler and less invasive. When identified in the early stages, treatment options can often be more conservative and involve less complex surgical procedures. Dr. Khosh specializes in saddle nose repair and can assess the extent of the deformity to develop a customized treatment plan that preserves as much of the natural nasal structure as possible.

Why Choose Dr. Maurice Khosh for Saddle Nose Repair?

Dr. Maurice Khosh is a leading facial plastic surgeon in NYC with extensive experience in diagnosing and treating saddle nose deformities. His approach focuses on achieving natural-looking results while restoring nasal function and appearance. By opting for early consultation and treatment, you can benefit from less invasive options and a smoother recovery process.

If you are noticing changes in the shape of your nose or experiencing breathing difficulties, don’t wait to seek professional evaluation. Contact Saddle Nose Repair at the practice of Dr. Maurice Khosh today to schedule a consultation and take the first step toward restoring the health and appearance of your nose.

What Dr. Khosh's Patients Say

4.9

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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