Grafts in Rhinoplasty
Grafts can be used to accomplish a variety of things during rhinoplasty. They are useful in narrowing or improving the projection of the nasal tip, lessening excess curvature, providing definition and support, widening the nostrils and for many other purposes.
Read on to learn more about the types of rhinoplasty grafts Dr. Rizk uses and what he uses them for.
Types of Grafts Dr. Rizk Uses in Rhinoplasty
There are a number of types of grafts used in rhinoplasty. Here are some of the grafts Dr. Rizk uses most often.
Alar Batten Grafts. Alar Batten Grafts are often used to prevent or correct nasal valve collapse, namely when the collapse is caused by weakness in the nasal sidewall. (A collapsed nasal sidewall causes narrowing of the nasal valve, which can potentially lead to breathing problems.) They can also be used to prevent alar retraction or to correct a “pinched” appearance. Alar batten grafts are often used in combination with a septoplasty or septorhinoplasty procedure. They are placed just above the lower lateral cartilages. They may be harvested from the septum or ear, but Dr. Rizk prefers to use septal cartilage grafts because they are stronger. Contact Dr. Rizk to learn more.
Spreader Grafts. Spreader grafts can be a good choice when the middle portion of the patient’s nose is too narrow, which can make it difficult to breathe through the nose. They can also be used to keep the septum straight, and are sometimes used in revision rhinoplasty procedures. Many rhinoplasty specialists believe spreader grafts should only be used in the most extreme cases, in part because they can make the nose a little bit (but noticeably) wider. Spreader grafts add width to the middle vault of the nose and open up the valve area. They are typically placed between the septum and upper lateral cartilage. Depending on the procedure, they may be placed through an open approach or an endonasal approach.
Onlay Grafts & Umbrella Grafts. These grafts are often used in rhinoplasty techniques focusing on tip support. Onlay grafts project the nose’s “dome” while umbrella grafts are used in under-projected nasal tips.