Is A Saddle Nose The Same As Ski Jump Deformity?

Question

I think my PS made a mistake at removing the hump in my nose,he left me with a low curved inward bridge,like a ski launch pad.my nose has no dorsum projection and my bulbous tip (maybe due to supratip and pollybeak)is now the center of attention and also my nose looks too feminine for my face. How can my PS solve the problem he created? Do i need more tip definition or more cartilage in the bridge? Is this considered a saddle nose or ski jump deformity?

Hagen Schumacher, PhD, FRCS(Plast), FEBOPRAS · Answer

Hello,
These terms can be used interchangeably. I would call it ski slope nose (non-intentional). I would wait until all has healed  (6-9 months at least) and if you still want corrective surgery, fillers or cartilage grafts can be considered.

Kevin Brenner, MD, FACS · Answer

Saddle nose deformity is a distinct entity whereby the support structures of the nose (i.e. the bone and septal cartilage) are over-reduced and nasal bridge collapses inward. Saddle nose deformity exists along a spectrum. The problem visible on your profile views seems to be more consisten with a "pollybeak deformity," which occurs when the distal/dorsal septum is inadequately reduced during surgery.

Thomas A. Lamperti, MD · Answer

A saddlenose deformity is related to a structural collapse of the bridge of the nose. It is due to a loss of cartilagenous septal support of the bridge. It can be fixed with cartilage grafting.

	A ski jump deformity, which it looks like you have, is typically related to an over-resected bridge that leads to an overly concave profile line. This can be addressed with a cartilage onlay graft. This will help produce a more natural, non-operated nasal appearance.

Matt Erdmann, MBChB, FRCS(Eng), FRCS (Plast) · Answer

You have a slight ski-slope on profile, it is not the same a saddle nose deformity. This should eb left to settle for 3 months or so. Options to manage this is to lower the tip further which I would not recommend in a man, or to build up the bridge with either collagen filler (OPD procedure) or a cartilage graft, which would need to be  taken from your ear. Most surgeons would not do this for at least a year after surgery.
If you have any ongoing concerns it is always best to return to your PS for reassurance.

Andrew Pichler, MD · Answer

From the photos you appear to have a ski jump deformity, overresection of the bony dorsum that will require an onlay graft. Saddle nose is more a complete structural collapse, more involving the cartilagenous areas and support. That, too, requires onlay grafting.

Is A Saddle Nose The Same As Ski Jump Deformity?

Answers (9)