🎙️ Dr Dan Behind the Scalpel – Episode: Saddle Nose Deformity After Previous Rhinoplasty

A saddle nose deformity doesn’t only occur following significant trauma. In some cases, it can develop after previous rhinoplasty surgery when too much structural support has been removed without adequate reconstruction.

In this episode, Dr Dan discusses saddle nose deformity following previous nasal surgery, including why the nose can gradually collapse months after an operation, the role of over-resection and inadequate structural support, and the less common complication of septal perforation.

Dr Dan also explains why timing can be critical when a saddle nose deformity is identified shortly after surgery, how early intervention may sometimes prevent a more complex reconstruction, and what happens when patients present months or years later with established scar tissue and skin contraction.

🔎 What You’ll Learn in This Episode:

• What causes a saddle nose deformity following previous rhinoplasty.

• How over-resection of the nasal dorsum can contribute to structural collapse.

• Why the middle third of the nose needs adequate structural support.

• Why a saddle nose deformity may not become obvious immediately after surgery.

• How septal perforation can contribute to loss of nasal support.

• Why the timing of revision surgery can be critical.

• When early intervention may be possible following a previous rhinoplasty.

• Why scar tissue and contracture can make delayed reconstruction more complex.

• How skin stretching may be used in selected patients.

• Why hydrodissection may sometimes be required in severe cases.

• When hyperbaric oxygen therapy may be considered.

• Why rib cartilage may be required for complex saddle nose reconstruction.

• How extended spreader grafts can restore support to the middle third.

• How fascia and crushed cartilage may be used for camouflage and contouring.

• Why complex revision rhinoplasty requires specialised experience.