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Visible Horizontal Crease Over the Lower Part of Nose Due to Saddle Nose Deformity

Saddle nose deformities are caused by a lack of support for the nasal bridge. When the nasal bridge collapses, it causes a depression as the cartilage sinks down inside the nose. With severe bridge collapses, a distinct horizontal crease where the nasal cartilage collapsed is visible on the nose. To remove this crease across the lower part of the nose, a saddle nose repair is needed.

Dr. Maurice Khosh is double board certified in facial plastic surgery, specializing in saddle nose repairs. His extensive knowledge and skill in repairing this complex nose deformity has helped many of our patients restore a natural, beautiful nose. Dr. Khosh can repair the various manifestations of a saddle nose deformity, including the nasal bridge collapse, over-rotated nasal tip and breathing obstructions. He can also smooth the visible horizontal crease on the lower part of the nose that is common with severe saddle nose deformities.

Repairing Saddle Nose Bridge Creases

The horizontal crease across the lower bridge of a saddle nose deformity is due to the loss of septal cartilage support. The collapse of the bridge shortens the nasal bridge, and the skin creases at the point where the bridge meets the nasal tip. When a saddle nose deformity surgical repair is completed, grafting is used to restore the nasal bridge support and structure. Once the nasal bridge is lifted and lengthened (if needed), the horizontal crease disappears as the skin is flattened over the bridge. If there is any residual creasing in the skin after the surgical repair, facial fillers can be used to smooth away visible lines.

Saddle nose deformities vary in their severity and manifestations. If you have a visible horizontal crease on your lower bridge, Dr. Khosh can ensure this issue is corrected during your saddle nose repair. Contact our clinic in Manhattan to schedule a consultation with Dr. Khosh to discuss repair 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.
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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.