At Weber Facial Plastic Surgery, we understand the profound impact that nasal appearance and function can have on a person’s self-confidence and quality of life. Saddle nose deformity, characterized by a concave or collapsed appearance of the nasal bridge, poses both cosmetic and functional challenges. Dr. Stephen Weber, a double board-certified Facial Plastic Surgeon with extensive experience in rhinoplasty, offers advanced surgical and non-surgical techniques to address this condition. By tailoring each treatment to the individual’s needs, Dr. Weber ensures optimal outcomes that enhance both appearance and functionality.
Definition and Causes of Saddle Nose Deformity
Saddle nose deformity is defined by a noticeable depression or collapse in the nasal bridge, giving the nose a “saddle-like” appearance. This condition can result from:
- Trauma: Injury to the nose that damages cartilage or bone.
- Previous Surgery: Over-resection of cartilage during prior rhinoplasty procedures.
- Infections or Diseases: Conditions like granulomatosis with polyangiitis or syphilis.
- Congenital Factors: Underdeveloped cartilage or bone.
The deformity affects aesthetics and can impair breathing by altering the nasal structure and internal airflow dynamics.
Saddle nose deformity can be categorized into three levels of severity:
- Minimal: Mild depression of the nasal bridge, primarily cosmetic.
- Moderate: Noticeable bridge collapse with some functional impairment.
- Severe: Significant nasal collapse affects appearance and breathing, often requiring extensive reconstruction.
Surgical Approaches to Saddle Nose Correction
Surgical intervention is often required for moderate to severe saddle nose deformities. Dr. Weber’s approach involves advanced techniques to restore both the structural integrity and aesthetic balance of the nose.
- Open Rhinoplasty vs. Closed Rhinoplasty Techniques: Open rhinoplasty provides greater access and visibility for extensive corrections, while closed rhinoplasty offers a less invasive option for minor adjustments.
- Restoring the L-Strut Support: A stable L-strut—formed by the septum and dorsal cartilage—is critical for nasal support. Reconstruction often involves grafts to rebuild this framework.
- Septal Cartilage Grafts: For patients with sufficient septal cartilage, this material is used to reinforce or replace the collapsed structure.
- Costal (Rib) Cartilage Grafts: For severe deformities or cases where septal cartilage is insufficient, rib cartilage provides a durable and versatile grafting option.
- Rebuilding the Septal Support Structure: Strengthening the central support ensures both structural stability and improved nasal airflow.
Every saddle nose correction requires a personalized approach. Dr. Weber begins with a thorough consultation to assess the severity of the deformity and the patient’s aesthetic and functional goals. Combining surgical techniques when necessary ensures the most natural and balanced outcomes.
Spreader Graft Techniques
Spreader grafts widen the middle third of the nose and improve internal nasal valve function. By placing these grafts along the septum, Dr. Weber can address both aesthetic concerns and functional issues, such as breathing difficulties.
Dorsal Onlay Grafting
To restore the nasal bridge’s contour, dorsal onlay grafting is employed. This technique uses solid or diced cartilage grafts, often wrapped in fascia, to create a smooth and natural appearance. The fascia wrapping ensures better integration and reduces the risk of irregularities.
Recovery and Post-Operative Care
Healing after saddle nose correction varies depending on the procedure’s complexity. Key aspects include:
- Timeline: Initial swelling subsides within a few weeks, but final results may take 6-12 months to fully develop.
- Care: Patients should follow Dr. Weber’s post-operative instructions, including avoiding strenuous activities and protecting the nose from trauma.
- Maintenance: Regular follow-ups ensure long-term success and satisfaction.
While rare, potential risks include infection, graft displacement, or asymmetry. Choosing an experienced surgeon like Dr. Weber minimizes these risks and ensures meticulous attention to detail during every stage of treatment.
Non-Surgical Alternatives
For patients with minimal saddle nose deformity, non-surgical options like dermal filler injections may provide temporary improvement. Fillers can:
- Smooth minor depressions
- Enhance nasal symmetry
However, the results are temporary, lasting 6-12 months, and unsuitable for addressing functional issues or severe deformities.
Why Choose Dr. Stephen Weber?
Dr. Stephen Weber’s expertise in facial plastic surgery and his commitment to personalized care make him a trusted choice for saddle nose correction. His precise techniques and comprehensive approach ensure that patients achieve both functional and aesthetic improvements. Whether you’re considering surgery or exploring non-surgical options, Dr. Weber will guide you through the process with skill and compassion.
Ready to restore your confidence and nasal functionality? Contact Weber Facial Plastic Surgery today to schedule a consultation and explore the best treatment options for your needs.