Hi all! I had a rhinoplasty to remove a dorsal hump a little over a year ago. I am assuming that by now the swelling has gone away. Unfortunately my nose still looks "deformed". At first I thought the surgeon simply left me with a small hump. However, now I worry that it is a saddle deformity. So my question is, from the pictures provided, do you think I do have a saddle deformity?
February 3, 2014
Answer: It Might Be a Saddle Deformity- But That's Not Important In all honesty, whether or not it is a saddle deformity doesn't really matter. The bottom line- the swelling has essentially resolved and it doesn't look very good. The dorsum is bumpy and it is either too low for the tip or the tip is too high for the dorsum (depending on what you want your nose to look like at the end of the process). Ultimately the dorsum needs to be smoothed and either raised to match the height of the tip, or the tip needs to be lowered to match the height of the dorsum (again depending on whether you want your nose to be a bit bigger or smaller than what it is now). In either case, you will need a revision rhinoplasty. In order to help decide which way to go with the dorsum, a consult with an experienced rhinoplasty surgeon who does computer imaging as a part of their consult will give you an idea what the end result will look like, and should help with the decision making process. Good luck.
Helpful 2 people found this helpful
February 3, 2014
Answer: It Might Be a Saddle Deformity- But That's Not Important In all honesty, whether or not it is a saddle deformity doesn't really matter. The bottom line- the swelling has essentially resolved and it doesn't look very good. The dorsum is bumpy and it is either too low for the tip or the tip is too high for the dorsum (depending on what you want your nose to look like at the end of the process). Ultimately the dorsum needs to be smoothed and either raised to match the height of the tip, or the tip needs to be lowered to match the height of the dorsum (again depending on whether you want your nose to be a bit bigger or smaller than what it is now). In either case, you will need a revision rhinoplasty. In order to help decide which way to go with the dorsum, a consult with an experienced rhinoplasty surgeon who does computer imaging as a part of their consult will give you an idea what the end result will look like, and should help with the decision making process. Good luck.
Helpful 2 people found this helpful
February 1, 2014
Answer: Over-reduction It appears that the surgeon may have over-reduced the cartilage just below where the bone ends on the roof of the nose. Since your about 1 year after surgery, your changes are likely permanent. There is not an adequate view from the front, but I expect that you are likely quite narrow in that middle nasal region. The term "saddle nose" does not quite fit with your findings, but it doesn't really matter. This is a very correctable problem (make the hump smaller while building up/likely widening a small amount the depressed cartilage area), but see a surgeon with extensive revision rhinoplasty experience. You should end up happy with your nose in the end.
Helpful 2 people found this helpful
February 1, 2014
Answer: Over-reduction It appears that the surgeon may have over-reduced the cartilage just below where the bone ends on the roof of the nose. Since your about 1 year after surgery, your changes are likely permanent. There is not an adequate view from the front, but I expect that you are likely quite narrow in that middle nasal region. The term "saddle nose" does not quite fit with your findings, but it doesn't really matter. This is a very correctable problem (make the hump smaller while building up/likely widening a small amount the depressed cartilage area), but see a surgeon with extensive revision rhinoplasty experience. You should end up happy with your nose in the end.
Helpful 2 people found this helpful
