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Why Rhinoplasty Is One of the Leading Causes of Saddle Nose Deformity

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Rhinoplasty is one of the most popular cosmetic surgeries worldwide, performed to refine the shape, size, or function of the nose. Yet, ironically, a procedure intended to enhance appearance and breathing can sometimes cause a complication known as saddle nose deformity. This condition occurs when the nasal bridge collapses, leaving a noticeable depression that affects both aesthetics and function. For patients who experience this issue after rhinoplasty, the results can be devastating—impacting confidence, nasal airflow, and overall quality of life.

At his New York City practice, Dr. Maurice Khosh, a double board-certified facial plastic and reconstructive surgeon, specializes in the complex surgery required to repair saddle nose deformity. His expertise offers patients hope for restoring both the natural structure and beauty of the nose.

How Rhinoplasty Can Lead to Saddle Nose

Saddle nose deformity occurs when too much cartilage or bone is removed from the nasal bridge or septum during surgery. Over time, this over-resection weakens the nasal framework, causing the bridge to collapse. While rhinoplasty can create elegant results when performed carefully, aggressive or poorly planned techniques can inadvertently destabilize the nose.

Contributing factors include:

  • Excessive removal of septal cartilage during primary rhinoplasty
  • Unaddressed structural weakness in the nose
  • Post-surgical infection or trauma
  • Failed grafting techniques or poor healing

The American Academy of Otolaryngology–Head and Neck Surgery reports that revision rhinoplasty rates can be as high as 15%, and one of the most challenging complications surgeons encounter is a collapsed nasal bridge.

The Functional and Emotional Impact

Saddle nose deformity is not just a cosmetic concern. The collapse of the nasal bridge can lead to:

  • Nasal obstruction and difficulty breathing
  • Whistling sounds during inhalation
  • Frequent sinus infections due to impaired airflow
  • Facial imbalance and loss of nasal definition

For many patients, the deformity also brings emotional challenges. After undergoing rhinoplasty to improve appearance, discovering that the nose now looks worse can cause frustration, embarrassment, and loss of confidence.

Dr. Maurice Khosh: Expert in Saddle Nose Repair

Correcting a saddle nose deformity requires advanced surgical expertise. Dr. Maurice Khosh is uniquely qualified for this delicate procedure. As a double board-certified facial plastic surgeon and reconstructive specialist, he combines artistry with technical skill to restore both form and function.

Dr. Khosh often uses cartilage grafts harvested from the septum, ear, or rib to rebuild the nasal bridge. These grafts reinforce the nasal structure, restore symmetry, and improve airflow. His approach is highly individualized, tailored to each patient’s anatomy, history, and goals.

With extensive experience in revision rhinoplasty and reconstructive nasal surgery, Dr. Khosh has earned a reputation in New York City and beyond for successfully addressing complex cases that other surgeons may avoid.

Restoring Structure, Function, and Beauty

The goal of saddle nose repair is threefold:

  • Rebuild Structural Support – Using grafts or implants to strengthen the nasal bridge.
  • Restore Function – Improving nasal airflow to resolve breathing difficulties.
  • Enhance Aesthetics – Correcting the collapsed appearance to create a natural, balanced look.

Patients who undergo repair with Dr. Khosh often report not only improved breathing but also renewed confidence in their appearance.

Hope After a Failed Rhinoplasty

Experiencing complications after rhinoplasty can be discouraging, but it is not the end of the road. With the right surgeon, even complex deformities like saddle nose can be successfully repaired.

If you are living with the physical and emotional effects of saddle nose deformity after rhinoplasty, Dr. Maurice Khosh in NYC offers the specialized care you need.

Schedule a consultation today to learn how Dr. Khosh can restore your nose’s structure, function, and beauty with expert saddle nose repair.

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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Maurice M. Khosh, MD, FACS office lobby. Purple walls, mirror, an orchid on a beautiful table.