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When Is Surgery Necessary to Repair a Saddle Nose Deformity?

Close-up of a female nose

Many people choose to have rhinoplasty to improve the shape of their nose and the balance of their facial features. However, patients who choose to have rhinoplasty to repair a saddle nose deformity may have been perfectly happy with their nose before it was damaged. Deciding to have any type of plastic surgery is a major decision, and never one to be taken lightly. If you have a saddle nose deformity, you may wonder about other procedures available to repair your nose or if saddle nose surgery is your only option.

Saddle nose deformities, minor and major, all have one thing in common. This is the lack of support to the nasal septum and bridge. The nasal bridge has collapsed to some extent, creating a dip on the lower portion of the bridge. For some, this is the only indication, and the rest of the nose remains the same. Others may have a deep horizontal crease where the bridge collapses, an over-rotated nasal tip, shortened nose or breathing obstructions. The type of repair needed depends on the level of damage and the results desired by the patient.

Extent of Damage to the Nasal Cartilage

Cartilage is the main component of the nose structure. The nasal bones stop at the top of the bridge, and the rest of the nose is shaped and supported by cartilage. When there has been significant loss of cartilage from an infection, previous surgeries, disease or injury, repairing the shape and function of the nose requires surgery. There is usually not enough healthy cartilage to support the bridge and nasal tip, so a cartilage graft is required. Small pieces of cartilage harvested from other areas of the body can be carefully shaped and grafted to restore the nasal structure and form.

When there has not been a significant amount of cartilage loss, common in trauma where the nose bridge is compressed from damage, surgery is not always necessary. Facial filler injections can be used to cosmetically improve the shape of the nasal bridge. While these treatments must be repeated to sustain the appearance, it is a less invasive option for minor saddle nose deformities that only have a slight depression on the nasal bridge.

For those with a saddle nose deformity who want to explore repair options, come see the expert in all things “saddle nose.” Dr. Maurice Khosh offers surgical and non-surgical repairs for all levels of saddle nose deformities at our state-of-the-art plastic surgery clinic in Manhattan.

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.