Had Revision Rhinoplasty . Grafts Became Dettached.

The doctor was suppose to re-attach a graft from my nose to the bone so I could breathe better. After a few months it became dettached on the left side. Then 6 1/2 months later the right side became dettached. But is that normal to happen that long after surgery? Now my nose shifts side to side and I can barely breathe. I can see it and I feel it is not connected to the bone. It hurts when I lean to the side. Has this ever happened to any of your patients before and can you help me?

Doctor Answers (4)

Detached grafts


It is not clear whether you are asking about alar batten grafts placed over the bone or spreader grafts - either way it not possible to evaluate you without examination or at least high quality photos

Seattle Facial Plastic Surgeon
5.0 out of 5 stars 147 reviews

Detached graft


Hey Stormy - so you write of a graft that is detached and moving - is the graft on the bridge of the nose or more towards the lower part of the nose?  Is the graft natural tissue or is it plastic based? I would agree with Dr. Fleming that if the graft is called a spreader graft, that these grafts don't generally shift or change unless there is trauma after the fact  - usually these grafts are also not visible to the naked eye. 

A graft that sits under the skin on top of the bone however is visible and while mostly serving a cosmetic purpose can contribute to nasal obstruction if not positioned correctly.  These grafts can be mobile to a degree and generally will cause no trouble other than feeling a bit strange when it moves.  If your graft is painful it would suggest something else may be at issue - seeking a second or third opinion is probably necessary. 

SIncerely, Paul Kelly, MD

Paul E. Kelly, MD
Hamptons Facial Plastic Surgeon
4.5 out of 5 stars 2 reviews

Detached grafts rhinoplasty

It's rather unusual for grafts to detach 6 months after surgery.  It would be interesting to see a picture of you nose.  I would recommend you go back to you surgeon to discuss  and consider a second opinion.
Dr Gartner

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.5 out of 5 stars 55 reviews

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Mobile Graft after Revision Rhinoplasty


In 35 years of revision rhinoplasty, I'v e never seen a spreader graft (the graft that you describe) move 6-7 months after surgery unless there was significant trauma. However, this is a possible complication. I suggest you consult with your surgeon or get a second opinion regarding surgery to reposition and secure the grafts. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

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