Saddle Nose RhinoplastySeveral years ago, the “Saddle Nose” made big news in the posh upper West Side of Manhattan. Local newspapers reported the wife of a well-respected book publisher had gone to a Park Avenue cosmetic plastic surgeon for nose reshaping.


A “saddle nose” is also known as a boxer’s nose or a pug nose

. For boxers, a saddle nose results after taking many years punishment to the nose in the ring. But a book publishing society figure? How did she suffer a saddle nose?


The police also wanted to know and soon found the high level publisher had been pummeling his wife over so many years that her nose had literally been battered into a typical boxer’s nose.


The same result can happen when a beginning or inexperienced rhinoplasty surgeon removes too much bone, tissue and cartilage in a nose reshaping operation. Sports injuries like a blow with baseball, soccer or basketball can cause the same injury. Some people are just born with a saddle nose but most happen during the patient’s life time.


Unfortunately, nose reshaping revision on a saddle nose is surgically very involved, requiring changes to the inside and outside of the nose by a master rhinoplasty surgeon.


The key element inside the nose is the septum, a thin wall of cartilage and bone which, in addition to separating the nostrils, is also support for an upright nose. It does that through natural supports and struts so when too much is taken out, the nose no longer has the enough support. Over eager cosmetic surgery on a nasal hump can also cause the condition.


Yet another nasal procedure can produce a saddle nose. Septoplasty, the internal nasal surgery procedure to restore the septum, if done incorrectly, may result in a collapsed septum and eventual saddle nose. Breathing blockages can also result.


(Read more about septoplasty.)


To restore a normal looking nose, the nasal surgeon first repairs the airway by using donations of cartilage from the patient’s own body. Once the internal support allowing normal breathing is re-created, the surgeon, again working from the inside of the nose, can use synthetic nasal implants to straight the nose from the bridge to the tip.


The implants are made from medical-grade silicon and crafted to fit the patient’s exact specifications.