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Reconstructive Surgery American Board of Otolaryngology - ABO

Spreader Grafts In Rhinoplasty

The placement of spreader grafts is a common technique used in rhinoplasty and revision rhinoplasty. This technique has been used since the mid 1980s and is now used to correct a variety of problems that are addressed through nose jobs. In New York, our doctor commonly uses this technique to correct functional problems that occur in the middle vault of the nose. This area is defined as the region between the nasal tip and below the nasal bones.

By broad definition, a graft is a piece of material that is positioned in a location to correct a specific problem. In rhinoplasty, a spreader graft is typically created from the patient’s own cartilage and is used to strengthen the nose and allow for a long-lasting cosmetic and structural result. The main purpose of a spreader graft is to open up the internal nasal valve region to improve breathing and/or increase the width of the middle vault. One of the most common uses of spreader grafts is to strengthen the nose after a hump reduction. After the hump has been removed, spreader grafts allow our doctor to reconstruct the nose and provide it with the strength necessary to retain proper nasal functional and an ideal aesthetic result. Spreader grafts can also be used to correct a twisted nose by placing the graft on one side to straighten the nose. These grafts may be used to address functional problems and restore proper airflow through they nose, or they may be required to address a cosmetic problem via nose surgery.

Spreader grafts are typically created by using the patient’s own cartilage, as the cartilage can be easily incorporated into their nasal anatomy without fear of rejection. Common sources for this cartilage include the nasal septum, ears, and occasionally the ribs. Our doctor will identify the best source of cartilage for your nasal graft after examining your nasal anatomy and determining the approach for your nose job. After obtaining the cartilage, our doctor then creates the spreader graft by carving out a rectangular portion of cartilage. The graft will be placed in the correct location during an open or closed rhinoplasty. After placement, the graft is precisely sutured into its new location.

A spreader graft can be used in combination with other revisions that have been specified for your nose surgery. A risk associated with spreader grafts is the appearance of an in irregular contour on the surface of the nose. By working with an experienced doctor, this risk is minimized. Our doctor understands the complexities of working with spreader grafts and the ways in which each patient’s unique anatomy and skin thickness can affect the outcome.

If you are seeking a doctor to perform your nose job in NYC, call us to set up an initial consultation. After examining your nasal anatomy and gaining an understanding of your goals, our doctor will recommend a surgical approach, which may include the placement of a spreader graft. When working with our Manhattan doctor, you can be sure that his years of experience will allow him to choose the best approach to provide you with the result you desire.

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