Patient Photos

Saddle Nose Deformity Repair

This Asian Seattle rhinoplasty patient was referred to me to see what could be done about the severe saddle-nose deformity that resulted from his Wegener's granulomatosis. This autoimmune disease leads to chronic blood vessel inflammation which results in compromised blood flow to various parts of the body including the nose. In this patient's case, the cartilage of his nose was among the areas affected. Over time this lead to decreased structural support of his bridge and significant collapse of the dorsum.

We waited until his Wegener's disease was stabilized with medication before performing reconstructive surgery to repair the depressed bridge. The patient didn't have any functional breathing issues so an onlay graft using a layered, custom-carved ear cartilage was used to create a natural, strong dorsal line. The cartilage was placed using a hidden incision inside the right nostril. You can see in the before and 1 year post-operative photos how his severe saddle-nose deformity is now much improved. He now has a natural, strong appearing bridge that shows no evidence of his prior deformity.