Will osteotomies result in smaller bridge appearance on frontal view, even though spreader grafts are making it wider?

Doctor Answers 8

Osteotomies and spreader grafts

The spreader graft are used to open the cartilaginous aspect of the lower half of the nasal passages. The osteotomies are performed to make the upper third of the nose appear less wide. So the bridge area would be a bit more narrow less wide. 


San Francisco Plastic Surgeon
4.4 out of 5 stars 7 reviews

Will osteotomies result in smaller bridge appearance on frontal view, even though spreader grafts are making it wider?

  There are many different ways to perform a Rhinoplasty but in general terms breaking the nasal bones (osteotomies) can be used to decrease a dorsal hump and/or thin the nasal bridge as the base of the nasal bones are brought together in the midline.  Spreader grafts are typically cartilage grafts placed between the septal cartilage and the upper lateral cartilages in the area of the internal nasal valve.  They are not in the general vicinity of the nasal bones however, spreader grafts add volume to the nasal tip area and do make the tip wider.  Hope this helps.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Will osteotomies result in smaller bridge appearance on frontal view, even though spreader grafts are making it wider?

With regard to the nasal bridge, spreader grafts will stent the upper lateral cartilages and counteract the effect of osteotomies and infracture. However osteotomies will narrow the upper nasal base and bony dorsum.

Ron Hazani, MD, FACS
Beverly Hills General Surgeon
4.9 out of 5 stars 261 reviews

Osteotomies to Narrow Bridge and Spreader Grafts to Make it Wider

Depending on your needs, osteotomies can narrow the bridge and spreader grafts can be used to widen the lower bridge and mid-portion of the nose. It would be helpful if I knew exactly what you were trying to achieve. For example, how do you want to move the bones after the osteotomy and why are you placing spreader grafts? 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Osteotomies to narrow the bridge and spreader graphs for the narrow mid nose.

Osteotomies to narrow the bridge and spreader grafts for the narrow mid nose. This combination will narrow the upper bridge and slightly widen a depressed middle portion of your bridge. See an experienced rhinoplasty surgeon for this.Make sure you look at his results and meet with patients he has done and not rely on imaging.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 32 reviews

Osteotomies

Thank you for your question and Osteotomies will narrow the nose while spreader grafts will prevent middle vault collapse

Dr Corb

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 60 reviews

Effect of osteotomies on appearance of nasal dorsum from frontal view

Osteotomies will make the bridge appear more narrow on frontal view.  While you are correct in stating spreader grafts do make the middle vault slightly wider - typically they will be used only when the middle vault is overly narrow.  The effect overall will still be a narrowed appearance to the dorsum.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 46 reviews

Rhinoplasty for osteotomies as spreader grafts

 Osteotomies and spreader grafts can both be accomplished with closed rhinoplasty approach, whereby all the incisions are placed on the inside of the nose. The osteotomies will result in a narrower bridge line and narrowed nasal bones. Spreader grafts are placed along the top of the bridge line underneath the upper lateral cartilages to prevent collapse. For many examples and more information, please see the link below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.