Correction of saddle nose is a challenging issue. The technique varies according to the severity of saddle and septum status. Slight depression of the dorsum with intact septal support is mostly corrected with dorsal onlay graft. When the septal support is poor and sadlde is severe, the septum needs reinforcement so that dorsal graft does not distort or sink. Reinforcing the septum includes batten graft, spreader graft, and septal extension graft. Rarely, subtotal or total septal reconstruction or replacement is necessary. When septum reinforcement is necessary, rib cartilage is the best choice. Due to its ample amount and rigidity, autologous rib cartilage is the best graft material for most moderate to severe deformity patients.
My blog will explain easily the concept, techniques, result, complication, and considering points of rhinoplasty, Asian rhinoplasty, revision rhinoplasty, fucional rhinoplasty, and nasal reconstruction. As a rhinoplasty surgeon with more than 20 years of experience, I will try to help people who want useful and frank information on rhinoplasty.