Do I have a saddle nose deformity? 1.5 years post.

Question

I got a rhinoplasty about a year and half ago and I really don’t like the bump that was left when you look at my profile and also from the right oblique. Is this a deformity or did the surgeon just not take enough off?

Zoran Potparic, MD · Answer

It appears that there is a kind of "saddle nose deformity" with small hump deformity left. Revision of the dorsum to remove the hump could be done in local anesthesia and would be my choice. I would rather do hump reduction than just add cartilage graft to correct dorsum concavity; that will ultimately give you slightly smaller and more feminine nose. In person consultation with an experienced board certified plastic surgeon with good reputation in rhinoplasty where you can discuss your goals and options, possibly 3D simulation of both concepts (we use Crisalix software in our office for that purpose) is recommended. Good luck.

Christian L. Stallworth, MD · Answer

Thanks for your question.  To truly answer this you would require an exam.  You definitely have a height discrepancy between the lower/mid dorsum (supra tip and mid vault) compared to the bony dorsum.  When I think of "saddle" deformities, though typically see patients that have lost support in this area because of over resection, trauma, drug use, etc.  It is possible that 1.  the bone was not lowered enough, 2. the cartilaginous portion of the dorsum was lower too much, 3.the dorsum was appropriate but contracted due to scar tissue leaving this depression, or 4. a small combination of all of these.  Rhinoplasty revisions are reported as high as 15% across all surgeons so it is not uncommon to need a touch-up procedure.  I would invite you to first return to your operating surgeon and discuss your concern.  If you are not satisfied with this you can seek consultation from other experienced rhinoplasty surgeons - particularly those well versed in revision surgeries.Best wishes.

Drew Davis, MD · Answer

In the profile views, it does appear that you have a slight saddle nose deformity.  A revision rhinoplasty would be the way to augment the lower cartilage support of the nose and potentially slightly reduce the upper bony part of the nasal support and  to give you a smooth and aesthetic nasal dorsum.  At your consultation, some computer "morphing" could be done to help illustrate what changes are possible and what result would meet your expectations.

Satyen Undavia, MD · Answer

Thanks for your question. Based on your photo it does appear that you have a slight saddle deformity. You should make sure there are no issues with the inside of your nose like a septal perforation.  One simple solution for this could be non surgical rhinoplasty with fillers, but this is temporary and would have to be repeated. Revision rhinoplasty with cartilage grafting would be  permanent. Good luck!

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!
From your photos, it appears that you indeed have a saddle nose deformity. As you are 1 1/2 years from your previous procedure, you are a candidate for revisional rhinoplasty with cartilage graft or alloplastic implant. 15% of cosmetic procedures require secondary touch up procedures.
Seek evaluation from a board certified plastic surgeon.
Best wishes...

Do I have a saddle nose deformity? 1.5 years post.

Answers (7)

Answer: Saddle nose deformity

Answer: Saddle nose deformity

Answer: Saddle nose deformity

Answer: Saddle nose deformity

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Do I have a saddle nose deformity? 1.5 years post.

Answers (7)

Answer: Saddle nose deformity

Answer: Saddle nose deformity

Answer: Saddle nose deformity

Answer: Saddle nose deformity

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.