What will it require to correct my Saddle Nose deformity? (photo)

A saddle nose can be corrected using person's own cartilage from the rib or ear or preserved cartilage. It is highly successful in experienced hands.

The saddle nose deformity develops when the septum has been damaged and sinks down. This results in the lack of support of the bridge of the ose which will also visibly sink down. The height of the dorsum is determined by both the cartilage septum as well as the nasal bones. Sometimes the nasal bones can be lowered a bit so that the mismatch in height can be lessened. Then cartilage grafting can be added to raise the septal part of the dorsum. It can be better explained in person by an experienced rhinoplasty surgeon. Good luck.

You do have that strong bump on the bridge, above the concavity. Although surgeons often think in terms of filling in a concavity, In a situation like yours, it's likely that most of the operation would be to lower that bump. After lowering the bump, the concavity might not look like a concavity at all, but just be in line with a straight bridge. Especially if the tip is brought back toward the face a millimeter or so. In my experience, it's a great advantage if we *don't* have to augment the bridge by putting something up there--it avoids lots of potential complications.We would figure that out by making detailed morphs of your nose, to see whether lowering the bump, and a couple minor associated changes, would do the trick.If there is still septum at the base of that concavity, that's very good, too.Remember also that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision. And it also discusses how to take photos that are best for online evaluations.
Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?

After extensive nose injury patients frequently end up with both aesthetic and functional deformity. Although you do not report any breathing problem which would be signs of nasal obstruction, it is very likely that you may experience it to a some degree. Only on the basis of in person consultation an experience board certified plastic or ENT surgeon can give you meaningful plan of treatment. Good luck.

Based on your photos, you do indeed have a saddle nose deformity as well as a prominent dorsal hump immediately above the concave. These concerns can be addressed with a cosmetic rhinoplasty procedure to correct the nasal bridge and improve your profile. Keep in mind that rhinoplasty is a complex surgery that requires a great deal of expertise and artistry to get it just right. Choose a board-certified plastic surgeon with extensive experience in nose reshaping to ensure an optimal outcome. 

If you do not have any functional issues with your nose, permanent nonsurgical rhinoplasty treatments with micro droplet silicon 1000 may be considered. .Adding volume below the small bump on your profile may lead to a straighter and higher nasal profile appearance. Hope this helps. Thank you. Dr. Joseph

The upper portion of the structure of the nose is bone, and the lower portion is cartilage. Rhinoplasty can change bone, cartilage, skin or all three. Talk with your surgeon about whether rhinoplasty is appropriate for you and what it can achieve.

Your already compromised nose (from trauma) was likely weakened further by removing a portion of your septum.... when dorsal support is weak as in a saddle nose deformity, the obvious solution is to ADD support

Support can be accomplished with a variety or combination of grafts including spreader grafts, splinting grafts, lateral crural strut grafts and septal extension grafts.... even if you had an unused septum to harvest cartilage from, this is a poor choice in a saddle nose.... as such, my choice is commonly rib cartilage.... I use either autologous (from the patient) or fresh frozen rib (from a cadaver).... lately, most of my patients are choosing the cadaver graft because it is safe, easy, plentiful, stable over time and relatively inexpensive

Although it can’t be stated with certainty, saddle nose deformities secondary to trauma and which cause obstruction/collapse should be considered for insurance coverage

Good luck...

The side profile photographs demonstrate not only  A saddle nose deformity, but a very large dorsal hump. The dorsal hump itself can be shaved down, and the saddle deformity grafted with a piece of cartilage to augment that area to give a nice refined contour. Osteotomies placed in the nasal bones accomplish narrowing the bridge line.

Hello , the saddle nose will be require a nose job with a cartilage graft for different parts of nose. It is sure the source of cartilage will be taked from your ribs. Good luck.