Are spreader grafts and alar batten grafts adjustable or removable? (Photo)

Hello, my nose is much wider after my revision procedure 5 months ago where spreader and batten grafts were used. I had a long skinny nose before and think this extra width is making the shortened length look even more off balance to me. How much could still be swelling?

Doctor Answers 9

Removal of nasal grafts

I would recommend not adjusting or removing any nasal grafts for at least 6-12 months after surgery. The majority of nasal swelling can decrease by 6 months, but depending on what is done this may take more and swelling can definitely last even up to a year. This can depend on many factors. I recommend seeing your nasal surgeon to address and evaluate your concerns. Best of luck.


Chevy Chase Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Removal or Adjustment of Nasal Grafts

Nasal grafts can be adjusted or removed but I recommend that you wait for a year after your primary operation to evaluated your result. It will take that long for complete healing in a patient with thicker skin who had multiple grafts.

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

Graft removable

Yes, it is possible to remove grafts but it may impact strength of the various areas they treated...

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Are spreader grafts and alar batten grafts adjustable or removable?

Spreader grafts and batten grafts can be removed and usually be adjusted. But after extensive grafting there needs to be a year before the results are judged. To judge the length and width of the nose the entire face on profile, oblique and front on views must be considered.

Curtis Perry, MD
Downey Facial Plastic Surgeon
4.8 out of 5 stars 16 reviews

Can the spreader an alar batten grafts be removed?

Yes, any graft can be removed or adjusted. However, it would be wise to wait for your nose to settle down and for the swollen to subside close to a year from the surgery. 

Bahman Guyuron, MD
Cleveland Plastic Surgeon
4.8 out of 5 stars 21 reviews

Revision Rhinoplasty

I agree that your tip is too wide. I would definitely wait until one year post-op to consider another revision. Even a small improvement in your nasal tip edema may give you significantly better proportions. 
Good Luck!

Jon Kurkjian, MD
Fort Worth Plastic Surgeon
5.0 out of 5 stars 37 reviews

Spreader and alar batten grafts

it is possible that the spreader and alar batten grafts can make a tip look wider but it is entirely too early to make that decision in your case.  Following a revision Rhinoplasty, it takes at least a year for all swelling to subside and achieve the final result.  If in a year's time the tip still looks too wide then the grafts can be removed and replaced in a better orientation. 

Devinder S. Mangat, MD, FACS
Cincinnati Facial Plastic Surgeon
3.8 out of 5 stars 25 reviews

Revision nasal surgery

You are only 5 months post REVISION nasal surgery.  Revision rhinoplasty can take over a year to heal.  So, please be patient, allow the surgery to heal.  And grafts are not ADJUSTABLE.#rhinoplasty, #nasalsurgery, #nosejob

Raghu Athre, MD
Houston Facial Plastic Surgeon
4.7 out of 5 stars 81 reviews

Wide nose with spreaders and batten grafts

The size and position of these grafts can be adjusted however it does required more surgery.  I would suggest waiting for one year.  You might see that it is not needed at that point.  And if it is the procedure will be easier and more predictable then.

Adam Bryce Weinfeld, MD
Austin Plastic Surgeon
4.9 out of 5 stars 51 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.