Helpful tips

What is a spreader graft?

What is a spreader graft?

Grafts of cartilage placed between the upper lateral cartilages and the septum to widen the middle third of the nose. These graft help with vestibular stenosis as well as prevent depressions/concavity in the middle third of the nose which can be a cosmetic issue.

Can spreader grafts collapse?

So, spreader grafts support the sidewalls, preventing them from collapsing and maintaining or improving the internal nasal valve. Aesthetically, spreader grafts allow to produce smoother nasal contour line from the forehead to the tip on the front view, knows as dorsal aesthetic lines.

How wide are spreader grafts?

There are no standard sizes but dimensions of 15–25 mm length, 1–2 mm width are often reported. They tend to be larger in revision surgery, longer in extended SPG. A careful trimming of the grafts is necessary to obtain adequate width and symmetry of the middle third and avoiding irregularities on the dorsum [9].

How do spreader grafts work?

Spreader grafts are created by carving out a rectangular segment of cartilage. Once these are carved out, they can be placed between the upper lateral cartilage and dorsal septum to open the internal valve and widen the middle vault.

What is an extended spreader graft?

In wide noses, extended spreader grafts fill the bone gap before lateral osteotomy and help to prevent open-roof deformity. In addition, fixing the upper lateral cartilages before lateral osteotomies might further prevent bone collapses, even after premature fractures.

When will my tip drop rhinoplasty?

By 1 month, most of the cheek and lip swelling has resolved, and the nasal tip shape and position are much more natural. Swelling of the tip continues to improve, and is really fading by the 3.5 month photo. Things look even better at 6 months, and will continue to improve or 1-2 years after surgery.

Where can I get a spreader graft from?

Spreader grafts are created by carving out a rectangular segment of cartilage. There are a variety of sources of cartilage including septum, ear, and rib. If the septum is intact, this is usually my first choice when it comes to harvesting cartilage to create a spreader graft.

Where are spreader grafts used in nasal valve surgery?

Spreader grafts are harvested pieces of cartilage placed between the upper lateral cartilage and dorsal septum. In functional nasal valve surgery or cosmetic rhinoplasty placement of these grafts can be accomplished in an endonasal submucosal pocket created between the dorsal septum and the upper lateral cartilage.

Are there risks with spreader grafts in rhinoplasty?

Inherent in any rhinoplasty operation are established risks and the potential need for revision. Specific to spreader grafts in the senior author’s experience, there may be some visible nasal widening that occurs with spreader graft placement, endonasal or open.

When did Jack Sheen invent the spreader graft?

Placing Spreader Grafts. Spreader grafting, or placement of spreader grafts, is a specific surgical maneuver commonly used in the world of rhinoplasty and revision rhinoplasty. The technique itself was originally introduced by famed rhinoplasty surgeon Dr. Jack Sheen sometime in the mid 1980s.