Saddle nose - do I need another rhinoplasty to fix this? (photos)

Question

I asked specifically not to cut the hump on my nose bridge as it wasn’t bothering me. The only thing I wanted to fix was my asymmetry, crookedness. What I got instead is saddle nose with weird dent in the middle of the bridge. Is it really that bad? Do I need another rhinoplasty to fix this?

Eric M. Joseph, MD · Answer

Saddle nose deformities are usually associated with an excessively low nasal bridge - a nasal ski slope. Your photo appears to show thin nasal skin with an overprojected bridge. Best to consult with a rhinoplasty specialist about your concerns. Hope this helps. Dr Joseph

Jeffrey H. Spiegel, MD · Answer

Hello - that doesn't look much like a saddle nose.  When you asked to leave the bump on the nose you made it somewhat hard for the surgeon as he or she was limited in what they can do for you. That small dent you see if called a supratip break and is a desirable feature.  If you dislike it, you can get some filler put in, in the office, to address it. Or, more permanently, a small graft can be placed, usually right in the office.

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