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?