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What could cause a saddle nose after a septoplasty procedure?

Ear, Nose & Throat Plastic Surgery Nose Job
DOCTOR’S ANSWER (2)
Thank your for your interesting question.

A saddle nose gets it's name from the shape that it forms, it looks a bit like a saddle with a depression in the middle.

There are many causes of a saddle nose, but the underlying cause is loss of support of the dorsum of the nose. Basically the internal cartilaginous septum is not strong enough to support the nose. This can be due to trauma, ischaemic necrosis, infection or surgical.

Septoplasty may have caused weakening in the septum, leading to a saddle nose deformity.

The way to fix it is reconstruction or strengthening of the septum. This is usually achieved with cartilage grafts from your rib as you probably will not have enough cartilage left in your septum.

Hope this helps.

Kind regards,


Dr Christopher Chui

AZATACA Plastic Surgery
38 IRRAWADDY ROAD
MOUNT ELIZABETH NOVENA SPECIALIST CENTRE
#06 - 48 Singapore 329563

386 views 28 Jan 2019

Septoplasty involves removal or weakening of the portion of the septum that is deviated. The septum is also the main support structure that gives our nose its shape.

When the Septoplasty had been too aggressive in removing or weakening the septum, structural weakening can occur. This may sometimes take time to manifest itself. With time, not only is there a worsening saddle deformity, the breathing function can also get worse as the nose starts to collapse on itself. 

To fix a saddle nose requires reconstruction of the septum. This usually means harvesting cartilage from the rib to repair the septum via an open septorhinoplasty. 


Dr Tan Kar Su‎
MBBS, MRCS, MMed, FAMS

THE RHINOPLASTY CLINIC ENT FACIAL PLASTICS
38 IRRAWADDY ROAD
Mount Elizabeth Novena Specialist Centre
#04 - 35 Singapore 329563

144 views 25 Jun 2019
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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.

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