Can spreader grafts be trimmed and if so, does it need to be an open procedure again?

Endonasal rhinoplasty can be done to further narrow your nose.  The spreader grafts can be trimmed and osteotomies can further  narrow the nose. Revising and trimming the spreader grafts can be challenging and in certain cases an open rhinoplasty may be needed. 

Unfortunately, when spreader grafts are placed, they will make the nose wider. In m any cases that is a good thing, but for some, they feel it is too wide.  The width is often about 1-2 mm for each graft. Shaving them down is hard because they are pretty narrow to begin with. They are often used for airway issues, and/or to correct septal deviations.  They can be taken out, but it might affect the above corrections.