What Are Grafts Used for in Rhinoplasty?

What are the reasons a surgeon would use a graft of any type? Thanks

Doctor Answers 9

What are grafts used for in rhinoplasty surgery?

Grafts can be used in rhinoplasty for a number of things. Some of the most common grafts and their uses are as follow:


1) Spreader graft: used to help widen the nose, improve breathing, and eliminate the appearance of pinched nose.
2) Shield graft: used to project and define the nasal tip.
3) Alar batten graft: used for support and open pinched nostrils.
4) Alar rim graft: help prevent pinched nostrils and improve shape of the nostrils.
5) Columellar strut: used for support and straighten the nasal tip.  It can also be used to increase projection. 
6) Composite graft: helps improve the appearance of receding nostrils.
7)  Dorsal onlay graft:  repair a scooped nose or a nose that had too much dorsum removed in a previous operation.
8)  Lateral crural strut grafts:  Strengthen nostrils and open narrowed nostrils.

In general, grafts are used for many purposes, and can help make both structural and functional improvements to the nose. A qualified surgeon will be able to tell what grafts will best help achieve your rhinoplasty goals. Thanks and I hope this helps!

Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 69 reviews

Grafts used in rhinoplasty

Revision rhinoplasty is more unpredictable than a primary rhinoplasty and always has a variety of issues.  Osteotomies are always performed for twisted nasal bones to realign the entire nasal pyramid.  Cartilage grafting, such as a spreader graft are fashioned from the patient’s own nasal cartilage and inserted up underneath the concaved side in the depressed area in the midthird of the nose.  Any hump removal can be removed by filing down the bone or cartilage, depending on the location of the bump.  It is certainly possible to have a straight nose.  Look for a surgeon who has extensive rhinoplasty experience and has a photo gallery of similar noses to yours.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 146 reviews

What Are Grafts Used for in Rhinoplasty?

Grafts are very commonly used in rhinoplasty. Common reasons for grafting include:

  • Replacement or augmentation of nasal structure
  • Improvement in the shape or contour of the nose

Typical sources of cartilage grafts include the nasal septum, ear or rib depending upon the shape and amount of cartilage required. I hope this information is helpful.

Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

What Are Grafts Used for in Rhinoplasty?

 This is a great question.  Aesthetically speaking grafts are used to increase support (strength), definition or size to the various areas of the nose during a Rhinoplasty.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 26 reviews

Grafts in Rhinoplasty

In most rhinoplasty procedures grafts are simply pieces of your own cartilage utilized to support or shape parts of your nose. Since it is your own native tissue, there is no risk of rejection. Infections are extremely rare. If used correctly grafts can be used to improve breathing, support sagging parts of the nose, or improve the cosmetic appearance.

Ira D. Papel, MD
Baltimore Facial Plastic Surgeon
4.9 out of 5 stars 31 reviews

Grafts in rhinoplasty

Contemporary rhinoplasty techniques emphasize preservation, reshaping and reconstruction of structure as opposed to large volume removal which was commonly done in the past. Grafts are used to support breathing, change and alter shape, provide strength to maintain results and replace missing tissue.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Grafts in Rhinoplasty


Graft in Rhinoplasty can be used for a variety of reasons. Some of which include reconstruction of the nasal valve area, spreader grafts, tip grafts, cosmetic tip reconstruction, dorsal augmentation,plumper grafts, camouflage grafts and any cosmetic or reconstructive purpose.




Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 274 reviews

Graft use in rhinoplasty

There are a multitude of grafts that can be used in rhinoplasty surgery. The decision to use them depends on what the surgeon is trying to achieve. Grafts are commonly used to ensure proper structural support of the nose after surgery. They can also be used to reshape the nose.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Grafts in Rhinoplasty

There are many reasons to use grafts in rhinoplasty surgery including the improvement of nasal support and correcting nasal collapse with breathing problems. Grafts are also used to improve nasal appearance. An experienced rhinoplasty surgeon will  determine if grafts are necessary for you - books are written on this subject.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 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.