Are Grafts Needed in Primary Rhinoplasty?

asked 1 year ago by mazza123 in london
Latest answer by William Portuese, MD
Question viewed 193 times
Tags: nose tip, graft, refinement, removal

I have been told by a surgeon that when removing a bump on the bridge of the nose that I would then need grafts taken from my nose to fill in that part, to prevent collapse, but quite a few other surgeons I consulted with said that it is not needed. So I am confused as to whether it would be the right option or not. I don't really want to have grafts in my nose, but don't want my nose to collapse either. The main issues I have with my nose are the bump on my bridge and my tip that I want refining.

9 answers to Are Grafts Needed in Primary Rhinoplasty?

Grafts in Primary Rhinoplasty

Without seeing pictures or examining you I cannot tell you if I would use grafts. Grafts, which are usually cartilage taken from the septum or ears, are frequently used in primary rhinoplasties to improve appearance or breathing. Look at the results of these surgeons in patients similar to you, both with and without grafts. Selecting your surgeon is worth the time and effort it takes.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Grafts and primary rhinoplasty

We perform cartilage grafts such as spreader grafts in many of our rhinoplasty patients. Not all patients need cartilage grafting. If you have a long, thin nose that is susceptible to collapse or is very pinched and narrow preoperatively, yes indeed you will need spreader grafts placed at the time of the surgery. If they are placed in an appropriate fashion, you should never even feel them or notice that they are there, but if you simply have good strong wide cartilages and just simply... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Cartilage Grafts in Rhinoplasty

Cartilage grafts are fairly routine in rhinoplasty and nothing to be concerned about if needed (assuming that it isn't being taken from the rib or ear which is much less common for a first time surgery). When you take down a larger bump you have to be very careful with the middle third of the nose - this is the most critical area regarding breathing. Adding cartilage to this area helps to maintain a sufficient opening to prevent a breathing problem from developing. ... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

Cartilage Grafts in Nose Job (Rhinoplasty)

The most important functional or breathing part of the nose is in its middle third in an area we refer to as THE NASAL VALVE. The area is a triangle divided into two by the upper septum and the central/upper portions of the upper lateral cartilages. We can roughly estimate the breathing importance of an area of the back of the nose we are considering removing by gently pinching the area we may be removing and see how it affects breathing. When a nasal hump is removed, we remove... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Nasal grafts in primary rhinoplasty

Most patients undergoing primary rhinoplasty in my opinion do not need grafts especially when taking down a nasal hump if other structures that support the nose are left intact or reconstituted. However, the use of grafts depends upon what the problem is. If you have ample tissue in your septum, then removing a portion from that part of your nose and placing it on another part of your nose for tip support or to prevent a breathing problem is often helpful and very safe. You might... more

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Grafts in Primary Rhinoplasty

Most surgeons use some graft during a primary rhinoplasty, as I do often. Grafts are placed in different locations and used for different reasons. There are spreader grafts, tip grafts, alar grafts, columellar grafts and more. Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Grafts in Primary Rhinoplasty

Cartelage grafts of some kind are now almost routiene in primary rhinoplasty. We use them to support or refine the structures left, fill in areas so we do not have to over resect other areas, and to improve breathing. They are generally different in each case, depending on your particular problem.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Grafts in rhinoplasty.

The grafts are often used and come from your septum. There are no concerns with doing this if the surgeon routinely does this. Often when the bump is removed I use spreader grafts to make the nose look and breathe better.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Primary rhinoplasty and the use of grafts

It is impossible to know for sure whether or not you will need grafts as part of your rhinoplasty without an exam. The areas we would commonly use grafts are to either support the tip, augment or refine the tip, or improve the airway. The decision really depends on your examination and in truth also your surgeon-- some use them commonly in primary rhinoplasties, others rarely do. That being said, either approach can create a very nice result, so in the end it really... more