Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorxDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

Continue with Facebook Continue with Google

Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO
Request answers from expert doctors:

DxD
DxD

We will distribute this question to expert doctors, and notify you about new answers.





How to fix a saddle nose?

Ear, Nose & Throat Plastic Surgery

I'm a 38 year old female. In the past year, I've noticed that my nose has shown signs of 'saddling'. What can I do about the appearance of my nose?

DOCTOR’S ANSWER (1)

Do you have a saddle nose ? 

Some people are born with a slight upturn on the tip of their nose that is natural and attractive. However when this appearance becomes more pronounced, it may be described as “pug nose” or “ boxer’s nose”.

The first question to ask is : "Do you have a saddle nose ?". The nose bridge is supported by paired nasal bones and an underlying vertical cartilage known as the nasal septum. If you press on the middle part of you nose and it is very soft and collapsible, then you might have a saddle nose deformity. 

What is a saddle nose ?

A saddle nose is a deformity that results when the nose bridge has a weakness that causes it to cave in. It is the result of loss of support from the septum, specifically the cartilage that makes up the septum of the nose (see below).

This usually happens in the middle of the nose bridge which causes it to look very much like a horse saddle when looking at the side-view, which led to it being described as a saddle nose deformity. The severity can range from slight, which is barely noticeable, all the way to extreme which can be disfiguring. The good news is that there are treatment options that can restore the normal profile of a saddle nose.



Nasal Septum made of bone and cartilage. (credit: Wikipedia)

There are several reasons how a saddle nose can occur. 

1. Trauma. One of the common causes of a saddle nose is nose injury where a nose fracture leads to a break in the septal cartilage and a collapse in the middle part of the nose. 

2. Previous Rhinoplasty. This is getting more common. Rhinoplasty surgery or septoplasty procedures that are too aggressive and when excess septal cartilage is removed may lead to saddle nose deformity.

3. Medical conditions. Uncommon conditions such as automate diseases or infections of the nose can lead to destruction of the nasal cartilage and a saddle nose deformity.

4. Use of drugs. Although uncommon in our patient population, the use of both recreational drugs e.g. cocaine and nasal sprays through the nose can lead to damage of the cartilage and a collapse of the middle part of the nose.

How to fix a saddle nose?

The treatment for a saddle nose deformity would be to treat or manage the underlying cause. In cases where the saddle nose deformity is significant or when there is a difficulty in breathing, the definitive treatment would be a reconstructive rhinoplasty procedure. This should be performed by a surgeon that is experienced with treating such complex complications. The nose cartilage has to be rebuilt with autologous cartilage (your own cartilage) which may be taken from the remnant nasal septum. However, most often this is insufficient and the cartilage has to be harvested either from the rib cartilage or the ear cartilage. Using healthy cartilage, spreader grafts are use to reconstruct and reinforce the nasal septum so as to restore the stability to the middle part of the nose.

I hope this answers your question. Have a great weekend!

Rgds,

Dr. Terence Goh

Plastic Surgeon

110 views 6 Feb 2019
Not the answer you're looking for? Browse other answers tagged Ear, Nose & Throat Plastic Surgery or ask your own question now FOR FREE.