Saddle Nose - Correcting A Nasal Deformity

What is Saddle Nose?

Saddle nose (also called "boxer's" or "pug" nose) is a nasal deformity that occurs when the middle of the nasal bridge collapses, leaving a dent or dip in the middle of the nose. This is due to loss or weakening of cartilage in the septum, leaving little material to support the nose. Besides affecting the aesthetic appeal of the nose, a saddle deformity can make breathing difficult.

What are the Causes of Saddle Nose?

Saddle nose can be caused by a number of conditions and accidents, but many causes are extremely rare.

Most common causes include:

  • Nasal trauma (hence the nickname "boxer's nose")
  • Septal hematoma  (blood clot in septum)
  • Cocaine use (damages nasal cartilage)

Rare causes:

  • Wegener's granulomatosis (blood vessel inflammation that can cause cartilage to break down)
  • Relapsing polychondritis (causes cartilage inflammation and damage throughout the body)
  • Syphilis (including congenital syphilis)
  • Leprosy

What Issues are Associated with Saddle Nose?

At its least severe, saddle nose may only be slightly apparent from an aesthetic perspective, and causes no breathing problems. On the opposite side of the spectrum, saddle nose causes a severe dip that may make the sufferer feel extremely self-conscious or struggle with breathing problems.

Interested in Improving Your Nose?

If you have low confidence and self-esteem or trouble breathing due to a nasal deformity, surgical correction might be a good option for you. Rhinoplasty is a very safe and effective surgery, and an experienced rhinoplasty specialist can produce beautiful results for many patients suffering from saddle nose or other deformities. If you are suffering from a disease causing saddle nose, you should speak to your physician before seeking nasal surgery.

To schedule a consultation call Sandy Friedman, director of patient relations for Dr. Nachlas, at (561) 939-0909. You can also reach us at


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