Skip to main content

The Most Common Causes of a Saddle Nose Deformity

young smiling blonde in a black dress

A saddle nose deformity, characterized by a noticeable depression or collapse of the nasal bridge, can

significantly impact both the appearance and function of the nose. This condition can arise from various causes and impact the health and facial aesthetics of the individual. Dr. Maurice Khosh, a renowned expert in facial plastic surgery, specializes in saddle nose repair, offering patients the opportunity to restore their nasal structure and improve their quality of life.


Trauma is one of the most common causes of a saddle nose deformity. Blunt force injuries, such as those sustained during sports activities, accidents, or physical altercations, can damage the nasal septum and cartilage, leading to a collapse of the nasal bridge. Fractures and dislocations can compromise the structural integrity of the nose, resulting in a saddle-like appearance. Immediate or delayed surgical intervention may be required to address these injuries and prevent long-term deformities.

Autoimmune Diseases

Certain autoimmune diseases can also contribute to the development of a saddle nose deformity. Conditions like granulomatosis with polyangiitis (formerly known as Wegener’s granulomatosis) can cause inflammation and destruction of the nasal cartilage. This progressive damage leads to a weakening and eventual collapse of the nasal bridge. Effective management of the underlying autoimmune condition, combined with reconstructive surgery, is essential to restore the form and function of the nose.

Nasal Drug Use

Chronic nasal drug use, particularly cocaine, is a significant risk factor for saddle nose deformity. Cocaine and other nasal drugs can cause vasoconstriction, reducing blood flow to the nasal tissues and leading to ischemia (tissue death). Over time, the repeated use of these substances can erode the nasal septum and cartilage, resulting in a collapsed nasal bridge. Quitting drug use and seeking medical and surgical intervention is crucial to address the damage and prevent further complications.

Nasal Surgeries

Previous nasal surgeries, particularly aggressive or poorly executed rhinoplasties, can sometimes result in saddle nose deformity. Over-resection of nasal cartilage or improper healing can weaken the nasal structure, leading to a collapsed appearance. Additionally, complications from septoplasty or other nasal procedures can contribute to this condition. Corrective surgery, often involving cartilage grafting, is necessary to reconstruct the nasal bridge and restore its natural contour.

Saddle Nose Repair with Dr. Maurice Khosh

Dr. Maurice Khosh is a leading specialist in saddle nose repair, utilizing advanced techniques to address the underlying causes of the deformity and achieve optimal results. His approach to saddle nose repair involves meticulous assessment and personalized treatment plans tailored to each patient’s unique needs.

The surgical repair typically includes cartilage grafting, where cartilage is harvested from the patient’s rib, ear, or nasal septum. This grafting helps to rebuild and support the nasal bridge, restoring both the aesthetic appearance and functional integrity of the nose. Dr. Khosh’s expertise ensures that the reconstructed nose not only looks natural but also maintains proper airflow, improving breathing function.

In addition to his technical skills, Dr. Khosh emphasizes a comprehensive approach to patient care. This includes preoperative consultations to understand the patient’s goals and medical history, as well as postoperative follow-ups to ensure successful healing and satisfaction with the results.

A saddle nose deformity can arise from various causes, but regardless of the cause, the condition can significantly affect both the appearance and function of the nose. Dr. Maurice Khosh’s expertise in saddle nose repair offers patients the opportunity to restore their nasal structure and enhance their quality of life. Dr. Khosh helps patients achieve a natural and functional nasal appearance with his personalized approach and advanced surgical techniques. If you are experiencing symptoms of a saddle nose deformity, contact Dr. Khosh to schedule a consultation and explore your treatment options.

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.
Facial Plastic Surgery logo. Americany Academy of Facial Plastic and Reconstructive Surgery, Inc.Logo Castle Connoly 2019Castle Connolly best doctorsBest Doctors logoTop Patient Rated New York Plastic Surgeon 2018Top Patient Rated New York Plastic Surgeon 2019Top Patient Rated 2020 New YorkTop Patient Rated 2021 New York
Bulding plaque name
Saddle Nose Repair
Facial Plastic & Reconstructive Surgery
Nasal & Sinus Surgery

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