A saddle nose deformity, often described as a dip or collapse in the bridge of the nose, can affect both the appearance and function of the nose. It may develop after trauma, previous surgery, or medical conditions that weaken the nasal framework. At Real Plastic Surgery, all rhinoplasty procedures are performed by Mr Naveen Cavale, a leading plastic and reconstructive surgeon based in London, who specialises in complex nasal surgery and reconstruction.
What Is a Saddle Nose Deformity?
A saddle nose deformity occurs when the central support of the nose, the septum and surrounding cartilage, weakens or collapses, leaving a visible depression across the nasal bridge. This gives the nose a scooped or concave appearance, and in more severe cases, can cause breathing difficulties or structural instability. The term “saddle” refers to the way the mid-portion of the nose dips, much like the seat of a saddle.
Common Causes
Saddle nose deformity can arise from a variety of causes:
- Trauma or injury – Fractures from accidents or contact sports can damage the nasal cartilage or septum.
- Previous rhinoplasty complications – Over-resection of cartilage or inadequate support from a prior nose surgery can cause a progressive collapse of the nasal bridge.
- Medical or inflammatory conditions – Autoimmune or infectious diseases, such as granulomatosis with polyangiitis or lupus, may gradually weaken the nasal framework.
Identifying the underlying cause is key to planning the most effective saddle nose surgery or reconstruction.
Visible Signs and Functional Symptoms
The most recognisable sign of saddle nose deformity is a noticeable dip in the nasal bridge. Depending on its severity, this may also make the nose appear shorter or upturned from the side.
Functional symptoms can include:
- Difficulty breathing through one or both nostrils
- Frequent crusting or nasal dryness
- Nosebleeds
- Reduced airflow and congestion
Even mild deformities can impact confidence and comfort, which is why timely assessment and correction are so important.
Surgical Correction: Restoring Structure and Function
Saddle nose surgery, also known as reconstructive rhinoplasty or septorhinoplasty, is the definitive treatment for this condition. The goal is to rebuild the nasal bridge, restore structural support, and improve both the appearance and breathing function of the nose.
Depending on the degree of collapse, this may involve:
- Cartilage grafting using cartilage from the septum, ear, or rib to reconstruct the nasal bridge and restore height
- Structural grafts such as batten, spreader, or septal extension grafts to reinforce the weakened nasal framework
- Revision rhinoplasty for patients who have experienced collapse after a previous procedure to restore integrity and balance
Each reconstruction is carefully planned by Mr Cavale to achieve a natural contour and a stable, long-term result.
Non-Surgical Options
In mild cases, non-surgical correction with dermal fillers can temporarily lift the nasal bridge and smooth the profile. However, fillers do not correct internal structural issues or breathing problems, so for moderate to severe deformities, surgery remains the most effective solution.
Recovery and Results
After saddle nose surgery, most patients return home the same day. Swelling and bruising typically settle within two weeks, though the internal healing process continues for several months. As the structure stabilises, the nose gradually adopts its refined, natural contour, improving both aesthetic harmony and nasal function.
Following Mr Cavale’s aftercare guidance is essential to ensure proper healing and to maintain long-term results.
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Why Choose Mr Naveen Cavale?
All surgical procedures at Real Plastic Surgery are performed by Mr Naveen Cavale, Consultant Plastic, Reconstructive and Aesthetic Surgeon. He is highly experienced in both primary and complex revision rhinoplasty, using his reconstructive expertise to rebuild the nasal framework while creating a balanced, natural result.
His approach combines precision surgery, a deep understanding of nasal anatomy, and an appreciation of aesthetic proportion, ensuring every patient receives honest advice and realistic expectations throughout their journey.
Thinking About Saddle Nose Surgery?
If you’ve noticed a dip or collapse in your nasal bridge following injury or previous surgery, a consultation with Mr Naveen Cavale can help determine the best approach for correction. Book an appointment at the REAL Clinic in Battersea to discuss your treatment options and begin your journey to restoring both structure and balance.
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