How do I fix this nose deformity (is it a saddle nose)?

Question

What type of nose do I have (I believe it may be a minor case of 'saddle-nose')? This is a defect which I was unfortunately born with & is not a collapse from a prior procedure (I've never had rhinoplasty before).

Alejandro Nogueira, MD · Answer

Your nose shows very special features I'll try to explain and provide technical correction:-dorsal hump at the upper part of the bridge, to be shaven down-dorsal hollowness at the lower part of the bridge, caused by defficiency of the caudal septum which is short and sunken-over rotated tip, caused for the above mentioned defficiency of septum but also because the alar cartilages are tuny, hypoplastic and insufficient to provide adequate tip support, furthermore there is some nasal pinching effect due to thisWith that said you need the following:-dorsal hump resection and osteotomies at the base of the nose-septal lengthening and enlarging with grafts to lower the tip and fill up the hollow supratip so that the whole dorsum is an unique line of straight profile-alar cartilage reinforcement or replacement and tip grafting to achieve the suitable tip projection, shape and angle, and also to correct the pinchingYours is a high difficulty case, seek the opinion and hands of real masters in rhinoplasty, travel wherever is necessary.

Jason Roth, MBBS, FRACS · Answer

You have a subtle probably combined bony and cartilaginous dorsal hump. If you had a saddle deformity you could expect that this may have worsened over the years but the mid third and supra-tip area looks well supported. A saddle nose deformity is challenging to repair but fortunately removing a hump such as you have should be a reasonably straight forward rhinoplasty procedure.

Joseph L. Kiener, MD, FACS · Answer

The appearance of your nose is due to loss of underlying cartilaginous support in the supra tip region. Yes a saddle nose albeit a minor one.. The definitive correction is cartilage grafting, but you could realize some improvement with injection of a  hyaluronic acid based filler.  Regards.

Ivo Gwanmesia, FRCS(Plast) · Answer

Thank you for your question. You do not have a saddle nose. Saddle deformities result due to loss of structural support along the dorsum of the nose.From what I can see, you appear to have mild over-projection of the dorsum of the nose. This can be readily corrected with a standard rhinoplasty procedure.Kind regards.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many Rhinoplasty Surgeries over the past 30 years.  This does not appear to be a saddle deformity (scooped out bridge) but rather a slight dorsal bump with a wide nasal tip that is under-rotated (makes the nose appear long).  Rhinoplasty to rasp down the bump, thin and refine the nasal tip seems appropriate.  A saddle deformity is caused by some type of trauma to the septal cartilage resuting it loss of cartilage and collapse of the nasal bridge inward.  Your nasal tip is slightly higher (projected off of the face) than the height of the nasal bridge which can also be adjusted during a Closed Rhinoplasty.Hope this helps.

Ashok Govila, FRCS, MCh, MS - Account Suspended · Answer

Hi Ruby
I will
not consider it to be a saddle deformity. You need to go to a proper
Rhinoplasty surgeon who can fix it for you.
There
are several ways to do it. I have my own method to fix it. Each surgeon is
different as far as nose surgery is concerned.
More
information about us is on my website below

How do I fix this nose deformity (is it a saddle nose)?

Answers (6)

More Rhinoplasty Questions

After I take the tapes off will my nose swell up again?

Average cost of rhinoplasty from a good surgeon in San Francisco/Bay Area?

What can be done to this nose?

Nose is broken from 8 years ago, getting more crooked as I get older. Will it get worse?

Do I have a retruded maxilla? If yes, is there anything I could/should do about it? (photo)

WE SEND PRETTY
EMAILS