This 36-year-old woman is 11 months into her healing after a saddle nose repair and cosmetic septorhinoplasty to refine her tip and straighten her nose. Dr. Brace harvested autologous rib (the patient’s own) to have enough cartilage to correct the deficits creating the saddle deformity. The nasal tip cartilage was narrowed and a morselized cartilage graft placed over the tip to soften the bifidity (cleft) visible through her thin skin.
Saddle noses can result from multiple different causes including previous nasal surgery, septal infections or hematomas, nasal trauma, cocaine use, and autoimmune vasculitis. Often the root cause is a septal perforation and loss of support for the bridge of the nose or a disarticulation of the cartilage from the nasal bones. In either case, a reconstruction with structural cartilage grafts is required to restore the form and function of the nose.