There are a variety of sources for cartilage for reconstruction of the saddle deformity. A saddle deformity is when the top of the nose becomes scooped out either from trauma or previous surgery. To correct this, the dorsum or bridge of the nose needs to be built back up. Most often this is done with cartilage from the septum which can be layered and contoured as needed to give the profile that the surgeon and the patient desire. Other options include cartilage from the ear as well as from the rib. In addition, irradiated cartilage can be used from tissue banks. This is cartilage from cadaveric donors that has been treated and radiated. It has been shown in studies to have a very good safety record as well. Recent studies have confirmed that it has good durability and safety. Lastly, some surgeons will use synthetic implants to correct a saddle nose deformity. This includes materials such as GoreTex and silicone.
Correction of a saddle nose deformity is a challenging procedure for a facial plastic surgeon. Fortunately, there are a variety of materials both from the patient as well as from elsewhere that can be used to correct this deformity.