Saddle nose deformity is a condition in which the bridge of the nose appears depressed or concave, resembling the shape of a saddle. This deformity can significantly impact both the appearance and function of the nose. Addressing this issue often requires a specialized rhinoplasty procedure to restore the nasal structure and improve airway function. In this article, Dr Turner, a Specialist Plastic Surgeon in Sydney, outlines everything you need to know about saddle nose deformity —from diagnosis to recovery—and how his expertise can help you achieve better nasal function and enhanced facial harmony.
What is a Saddle Nose?
A saddle nose refers to a depression or loss of height in the middle aspect of the nasal bridge, often caused by damage or loss of support from the septal cartilage. This results in the nose taking on a characteristic sunken or scooped appearance. In severe cases, this deformity can cause both cosmetic and functional problems, such as difficulty breathing due to obstruction of the nasal passages. The severity of the deformity can vary from minor flattening to a complete collapse of the nasal bridge.
Saddle Nose Deformity Causes
Traumatic
Trauma is one of the most frequent causes of saddle nose deformity. Injuries such as nasal fractures, blunt force trauma, or accidents can damage the nasal cartilage and septum, leading to collapse of the nasal structure. Untreated septal haematomas or improperly treated nasal trauma can also exacerbate the problem over time, resulting in the characteristic saddle shaped.
Inflammatory
Certain inflammatory diseases, like granulomatosis with polyangiitis (formerly known as Wegener’s granulomatosis) and lupus, can contribute to the degradation of nasal cartilage. These conditions can erode the nasal structures, causing them to collapse. Inflammatory processes lead to tissue breakdown, which weakens the nasal support and can trigger the onset of saddle nose deformity.
Congenital
Although rare, saddle nose deformity can also be present at birth due to congenital conditions. Babies born with certain genetic syndromes may have underdeveloped or weakened nasal cartilage, leading to this appearance early on. These congenital issues typically require correction through surgical intervention to support normal nasal development and function.
Post Rhinoplasty Surgery
Saddle nose deformity can occur as a complication following rhinoplasty, particularly if too much cartilage or bone is removed during surgery. Inadequate structural support after rhinoplasty may lead to a collapse of the nasal bridge over time. This type of post-surgical deformity may require revision rhinoplasty to correct both the functional and aesthetic issues caused by the initial surgery.
Saddle Nose Signs and Symptoms
Saddle nose deformity presents a range of symptoms that can affect both the appearance and function of the nose. Common signs and symptoms include:
- Visible Nasal Depression: The most obvious sign is the sunken appearance of the nasal bridge.
- Breathing Difficulty: The collapse of the nasal structure can lead to internal nasal valve collapse and airway obstruction, making it harder to breathe through the nose.
- Nasal Congestion: Chronic nasal congestion or a feeling of blockage may develop because of the deformity.
- Nasal Pain or Tenderness: Some patients may experience tenderness or discomfort in the affected area, particularly after trauma or inflammation.
What to Expect from Saddle Nose Surgery?
Functional rhinoplasty to correct saddle nose deformity is always performed under general anaesthesia in a fully accredited hospital with the assistance of a qualified anaesthetist. Depending on the complexity of the procedure, it may take 3 to 4 hours, and patients can generally be discharged home the same day.
The goal is to rebuild the nasal bridge using cartilage grafts from the patient’s own body (autologous cartilage) or with cadaveric costal cartilage. Dr Turner’s preference is not to use any synthetic implants materials in nasal surgery due to inherent complications. The technique and process that Dr Turner will use to correct saddle nose deformity is based on the severity of the deformity and available cartilage grafts.
Minor Saddle Nose
For minor deformities, subtle adjustments of the nasal dorsum may be sufficient. The rhinoplasty surgery might involve reshaping and reinforcing the upper lateral nasal cartilage without the need for extensive cartilage grafting, often with the addition of a onlay fascial graft
Moderate Saddle Nose
Moderate cases usually require the use of several cartilage grafts to support and restore the nasal bridge. The cartilage is typically harvested from the patient’s ear, rib, or septum, and the cartilage grafts are sutured in place to rebuild the nasal septum / dorsum by a combination of spreader grafts, septal extension (columella) grafts and batten grafts. To minimize any visibility of these grafts an only fascial graft is generally applied along the dorsum.
Major Saddle Nose
In severe cases where there is a significant collapse of the nasal structure, a more extensive reconstruction is required. This can involve significant cartilage grafts to support the septum, with onlay diced cartilage in fascia grafts to restore the nasal bridge’s shape and strength. In some instances, rib grafts are used for their durability and structural integrity.
Recovery After Saddle Nose Surgery in Sydney
Recovery from saddle nose surgery typically depends on the extent of the procedure. Patients can expect some initial swelling and bruising, which usually subsides within a few weeks. Most individuals can return to light activities within two weeks, but full recovery, including the final appearance of the nose, may take several months as the swelling continues to decrease. It’s important to follow post-operative care instructions closely to ensure optimal healing and to avoid any complications. Dr Turner provides comprehensive aftercare to monitor your recovery and ensure successful results.
Why Choose Dr Turner for Your Revision Rhinoplasty?
Dr Turner is a Specialist Plastic Surgeon in Sydney, specializes in cosmetic surgery of the face, with experience in both functional and cosmetic rhinoplasty. His expertise ensures that patients receive personalized care tailored to their unique needs, whether they are seeking relief from a saddle nose deformity or looking to enhance the appearance of their nose.
Next Steps
If you’re struggling with a saddle nose deformity and considering surgery, here are your next steps:
- Schedule a Consultation: Contact us at 1300 437758 or visit drturner.com.au to book your appointment.
- Prepare for Surgery: Follow any preoperative guidelines provided, such as avoiding certain medications and arranging for post-surgery care.
- Plan for Recovery: Set aside time for rest and healing and arrange for assistance during your initial recovery phase if needed.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Consult with a qualified healthcare professional to determine the best treatment options for your individual needs.
