Address the “Scooped Out” Look in the New York Area
When referring to a saddle nose or saddle nose deformity, New York-area nose specialists are typically referring to a nose that looks a little scooped out on the side. If one can picture a horse’s saddle, this shape and configuration is consistent with the concave aspect of the saddle facing upward.
There are many causes of a saddle nose deformity, including some disease conditions that can affect the nasal septum (i.e. Wagner’s Granulomotosis, whereby the major support mechanism of the nose or the nasal septum becomes afflicted with the condition resulting in loss of support in the midsection of the nose so that there is some saddling, which results in a saddle nose deformity).
You can be confident you'll be in good hands with double-board certified facial plastic surgeon Dr. Edwin Williams:
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To request a consultation for addressing a saddle nose deformity in the New York area, contact the Williams Center for Plastic Surgery online or by phone at 1-800-742-2797.
Another common condition that can result in a saddle nose deformity is a septic perforation, defined as a hole in the nasal septum, which is basically a partition between the right and left side of the nose. If the perforation or hole is large enough, it can affect the support of the mid-aspect of the nose, resulting in saddling or collapse in the mid-aspect of the nose.
There are many causes of a septic perforation, including but not limited to trauma and other factors far beyond the purpose of this discussion. Suffice it to say, septic perforation is another known cause of saddle nose deformity.
Trauma to the nose and especially trauma to the nasal septum can result in a compromise in the blood supply of the nasal septum by various mechanisms. This can result in a loss of support and weakening of the nasal septum, whereby there is settling in the mid-aspect of the nose resulting in a saddle.
Finally, and unfortunately, surgery performed poorly can also result in a scooped out or saddle nose deformity. When surgery is performed without good attention to detail and leaving a nose strong and supported, it can result in the saddle nose deformity.
Fixing the saddle nose deformity first starts by receiving the opinion of a very experienced rhinoplasty specialist. Saddle nose deformities are complex and are often associated with other symptoms, including difficulty breathing, chronic bloody noses, and nasal collapse. An experienced plastic surgeon should be able to put together a plan whereby to revise or rebuild the nose. There are many ways that a saddle nose deformity can be repaired by an experienced surgeon. Almost all approaches require harvesting some additional support or cartilage to rebuild the nose. The ideal situation is when there is sufficient septal cartilage remaining in the nose for the surgeon to use to rebuild the saddle. Unfortunately, in many circumstances, this is not the case, so ear cartilage can be used by the surgeon to rebuild the nose—though ear cartilage is not sufficient in many circumstances because it does not provide enough structure or support, in which case rib cartilage is the preferred option. An experienced, revision rhinoplasty specialist often harvests rib cartilage from an inconspicuous area to help rebuild the nose.
If you’re considering a procedure to correct a saddle nose deformity and want to consult with an experienced New York-area facial plastic surgeon, call the Williams Center at 1-800-742-2797 today!