Saddle nose. Is there a non surgical procedure that will help the appearance? (Photo)

Question

I have had 3 sinus surgeries the second one was in 2014 and resulted in a post op infection that left a hole in my septum. In 2015 I had a surgery for recirculation. Since the two surgeries I have developed a saddle nose. Is it possible to fix my saddle nose surgically and if not, are there non surgical procedures that will help the appearance?

Eric M. Joseph, MD · Answer

Since you developed a septal perforation, you probably lost some nasal tip support. This has caused a slight indentation in your bridge and a small dorsal hump. Depending on your examination, microdroplet Silikon 1000 injections may be considered for providing a straighter nasal profile appearance. I hope this helps! Sincerely, Dr. Joseph

Elham Jafari, MD · Answer

Hi and thank you for your question! Based on the pictures you appear to be a good candidate for nonsurgical nose treatment with filler injection and we can use fillers such as Voluma to sculpt and reshape the nose. I hope it helps and good luck!

Scott Trimas, MD · Answer

The short answer to your question is that fillers can be used to temporarily correct the saddle deformity. However, a more permanent option would be to use a cartilage graft to correct the saddling that is present either rib or ear cartilage may be used depending upon how much augmentation is needed or desired. I would recommend consultation with a board certified facial plastic surgeon in your area.

Nelson Lee Novick, MD · Answer

A typical so-called "saddle" nose has a rolling depression along the dorsum of the nose generally in the region of the bridge of the nose. The photos here suggest more post-surgical dorsum irregularities. Nevertheless, these can be treated with filler to straighten the spine of the nose. There is and important caveat, here, however.  Only one prior surgery, much less three previous surgical rhinoplasties, can distort the vascular anatomy below--a fact that makes the potential for blood vessel compromise during filler injections considerably greater. You would therefore be well advised to make sure that you consult with an experienced, board certified aesthetic physician for treatment. Best of luck.

Jeffrey Joseph, MD, FACS · Answer

Thanks for the question.  Since you have had previous nasal surgery, I would recommend rib cartilage to rebuild tour nose.  It can be either a piece of your own rib or irradiated rib that has been prepared for grafting.  Good luck!

Solomon Facial Plastic - Thornhill · Answer

Hi there,You could benefit from 'injection Rhino' or nose filler. The divot in your nose could be lifted and filled with filler. Although the results are not permanent, they are long lasting, up to 18-24 months. It has no down time and is more cost effective than a revision surgery. That being said, injection rhino is not without risk and should be performed by an experience medical practioner.

J. Charles Finn, MD · Answer

Yes repair of a saddle nose is challenging, but possible. This usually requires using one of your own ribs for repair. If your nose is fairly solid, you may get some improvement with just an injectible filler for a temporary benefit. Good luck!

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