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Possible to Fix a Collapsed Tip + Saddled Bridge Cartilage at the Same Time?

asked 1 year ago by ST3 in Los Angeles, CA
Latest answer by William Portuese, MD
Question viewed 226 times
Tags: bridge, combination, deviated septum, saddle nose

I need a primary rhinoplasty for a deviated and collapsed tip (septum is likely deviated as well) and my bridge cartilage is also noticeably collapsed/saddled as well. In general, how much of a chance is there for restoring my nose back its original appearance if I were to bring in photos to the surgeon before the trauma occurred? I keep reading that such a situation is extremely difficult, if not impossible, to correct and am pretty worried that it can't' be fixed, thanks for any replies.

2 answers to Possible to Fix a Collapsed Tip + Saddled Bridge Cartilage at the Same Time?

+1

Fixing collapsed tip and saddled bridge at the same time

Saddling defect of the nasal supra tip area of the nose can be repaired through augmentation rhinoplasty with the patients own septal cartilage.  The deviated nasal septum cartilage can be harvested and removed to straighten the septum and improve the airflow through the nose and take a piece of that cartilage and insert it up into the dorsum in the saddled area.  It is also important to bring your original pictures of both side profile projection of the nose and frontal views... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Rhinoplasty for saddle bridge after traumatic injury to the nose

Without a photo or face to face examination it is impossible to say what could be done or what your options are. The saddle bridge after trauma is not too different from congenital bridge cartilage deficit seen in Asians and African-Americans. Both require grafting to the bridge. The main difference is in the amount of material needed for grafting. The amount is usually less for saddle bridge after trauma. I do not know exactly what you mean by collapsed tip. Normally the tip cartilages are... more
Aaron Stone, MD

Los Angeles Plastic Surgeon

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