Shanghai Liu Chaofeng1. Direct answers
saddle nose(The middle bridge of the nose is sunken,nasal root collapse) correction, the core is to re-support the collapsed dorsum of the nose: mild to moderate can be raised with autologous cartilage or prostheses; mergenasal septum deviationIn cases of severe collapse, costal cartilage reconstruction is often required. Congenital, traumatic, injection failure or infection contractures can be the cause, and your mileage may vary.
2. What is saddle nose (definition)
The saddle nose is a nasal deformity, which is characterized by a downward depression of the bridge of the nose (especially the middle part of the dorsal nose or the root of the nose) and a "saddle"-like low and flat curve when viewed from the side. It is not only because the bridge of the nose is low, but there is a lack of bony or cartilaginous support and broken lines.
Saddle nose refers to a nasal deformity in which the middle section of the bridge or the nose is depressed downward due to lack of bone and cartilage support, and the back of the nose is saddle-like and flat when viewed from the side. It is often accompanied by changes in the shape of the nose and limited ventilation function.
Dr. Liu ChaofengThe saddle nose will be distinguished from "the bridge of the nose is naturally low": the latter is overall low but the lines are continuous, while the saddle nose is partially collapsed and the lines are broken, and the correction ideas are different.
3. How was the saddle nose formed (causes)
There are four types of causes of saddle nose, with different treatment focuses:
| genetic types | common cause | Characteristics and processing priorities |
|---|---|---|
| congenital developmental | Aplasia of nasal bone and nasal septum cartilage | Requires structural filling and support |
| trauma | Nasal bone fractures were not reduced, mallocated and healed | Often complicated with deviation of the nasal septum, reconstruction first and then reshaping |
| injection failure | Bone meal, illegal fillers, omeprazole, etc. | The foreign body needs to be removed first, and secondary reconstruction if necessary |
| Infected contracture | Infection and capsular contracture after rhinoplasty | Tissue thinning and retraction, often requiring rib cartilage repair |
Among them,"injection failure" and "infectious contracture" often need to be performed firstInjection failure nasal repairOr the foreign body will be removed and reconstructed after conditions have stabilized.
4. Saddle nose correction plan
The essence of correction is to restore support. The plan is as follows:
1. Prosthesis fills nose bridge
Suitable for people with mild to moderate collapse and good skin and soft tissue conditions. Silicone gel and blotches are commonly used. For the differences between the two materials, applicable groups and points of attention, please refer toHow to choose filling materials for rhinoplasty。
2. Autogenous cartilage graft
Ear cartilage and nasal septum cartilage are used for local support; if the collapse is severe or multiple surgeries have been performed in the past, Dr. Liu Chaofeng prefers to take the rib cartilage for "structural rhinoplasty" for better support stability.
3. Nasal septum reconstruction
For those with nasal septum deviation or ventilation disorders, the nasal septum needs to be reconstructed simultaneously, taking into account the improvement of appearance and nasal function.
| Filling/supporting materials | applicable | advantages | careful |
|---|---|---|---|
| silicone prosthesis | Mild to moderate collapse | Easy to carve and easy to remove | People with thin skin need to prevent them from showing off |
| Expanded (ePTFE) | Light to moderate, seeking nature | Good fit and non-visible | Higher requirements for sterility |
| ear/nasal septum cartilage | localized support | Self, no rejection | Limited amount of materials |
| costal cartilage | Severe collapse, repair | Large support and strong stability | Additional incision in the rib extraction area |
5. Costs and Recovery Period
saddle nose correctionThe cost is strongly related to the plan: there is a large difference between simple prosthesis elevation and structural reconstruction of costal cartilage, which needs to be determined according to the degree of collapse and material selection after face-to-face consultation. In terms of recovery period, the swelling significantly subsides in 1 - 2 weeks after surgery, and the morphology gradually stabilizes in 1 - 3 months. It usually takes about half a year to be completely natural. The specific budget and operation method are recommended inComprehensive nasal plastic surgeryCommunicate and confirm during assessment.
- Within 72 hours after surgery: ice, head lift
- 1-2 weeks: Remove stitches to avoid pressing on nose
- 1-3 months: Form gradually stabilizes, avoid strenuous exercise
- About half a year: Basically restored to its natural form
6. Frequently Asked Questions (FAQ)
Q: Is saddle nose surgery necessary?
A: Most obvious collapses require surgical reconstruction and support; if they are extremely mild and have low requirements for appearance, they can be evaluated first, but ordinary fillers cannot replace structural support.
Q: What should I do if the bone meal injection fails and my nose collapses?
A: Foreign bodies such as bone meal should be removed first to control inflammation, and secondary cartilage or prosthesis reconstruction should be performed after the tissue conditions are stable. It is not recommended to directly elevate it immediately.
Q：鞍鼻和upturned noseWhat's the difference?
A: The saddle nose is a sunken middle section of the bridge of the nose and a low dorsum of the nose; the upward nose isnasal tip upward、exposed nostrilsThe two parts and causes are different, and the correction plan is also different.
Q: Are saddle nose and depressed nasal base the same thing?
A: No. A depression in the nasal base is the low and flat area of the nasal base and nostril base, appearing to protrude the mouth; a saddle nose is the collapse of the bridge of the nose itself, which needs to be evaluated and treated separately.
Q: Can costal cartilage be used for saddle nose correction?
A: Yes, and those with severe collapse or multiple repairs often require costal cartilage to obtain sufficient support, which will be decided after evaluation by the doctor.
Q: How long can I wear glasses after correction?
A: It is generally recommended to wear glasses 1-2 months after surgery to avoid pressing on the unstable back of the nose.
Q: Is saddle nose correction risky?
A: Any surgery carries risks, such as infection, unsatisfactory morphology, etc. Choosing qualified medical institutions and communicating fully with doctors can help reduce risks.
7. Conclusion
The key to saddle nose correction is to "identify the cause and rebuild the support". Whether it is caused by congenital, trauma or injection failure, it is recommended that a professional doctor visit to evaluate the degree of collapse and tissue conditions before formulating a plan.Shanghai Liu ChaofengThe doctor is here.Correction of nasal deformitywithnasal repairThe field has more accumulation and can provide targeted assessments.
Disclaimer: This article is only for popular science reference and cannot replace the face-to-face diagnosis and diagnosis of medical practitioners. There are individual differences and medical risks in nasal surgery. The specific plan, cost and prognosis should be based on the results of face-to-face consultations in regular medical institutions. Do not blindly compare other people's cases or make your own judgments.
This article was compiled and published by Dr. Liu Chaofeng.
