Spreader grafts? Any suggestions?
Doctor Answers 7
I use spreader grafts of customized thickness maybe 50% of the time, typically for asymmetric / deviated noses. You are correct that blindly placed spreaders in all cases without concern for the mid-vault volume is definitely a mistake. Lack of attention to mid-vault however can cause post-operative internal valve collapse or inverted V deformity, especially with dorsal hump reduction.
You might also like...
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Thank you for your question. I would recommend scheduling a couple consultations with board certified plastic surgeons who specialize in rhinoplasty. There are other options out there other than spreader grafts, it is really up to the surgeons preference and what he thinks you need. Discuss during the consultations that you do not wish to use spreader grafts and find a skilled surgeon who is willing to work with you and come up with a safe option that will give you the results you desire.
Best of luck in your endeavors!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science
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.