I had spreader grafts put in via open rhinoplasty during revision. Question... most grafts fit into a pocket and are only sewn so that it heals scars and forms correctly but it is mostly the pocket that keeps it in tact. I watched many OPEN rhinoplasties and see that spreader grafts dont really go into a pocket they are stitched in, so does that mean they are held on by stitches AND THAT IS THE ONLY THING HOLDING THEM FROM COMING OFF? or is it a mixture of kind of a pocket and stitches.?
Answer: Spreader grafts Hello and thank you for your question. Spreader grafts must be sutured in place in order to ensure a stable longterm result. A precise pocket dissection is also important. I frequently use spreader grafts to straighten the asymmetric nose and to help improve breathing. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
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CONTACT NOW Answer: Spreader grafts Hello and thank you for your question. Spreader grafts must be sutured in place in order to ensure a stable longterm result. A precise pocket dissection is also important. I frequently use spreader grafts to straighten the asymmetric nose and to help improve breathing. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
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CONTACT NOW March 16, 2016
Answer: Spreader graft fixation Via the open approach, spreader grafts are secured in place during surgery with sutures. This ensures they stay where intended during the healing process. Typically long lasting dissolvable sutures or permanent sutures are used but the healing process causes surrounding scar tissue to form which further helps secure the grafts.In some cases spreader grafts can be placed during a closed rhinoplasty. For these cases they are slipped into a pocket similar to what you described.
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CONTACT NOW March 16, 2016
Answer: Spreader graft fixation Via the open approach, spreader grafts are secured in place during surgery with sutures. This ensures they stay where intended during the healing process. Typically long lasting dissolvable sutures or permanent sutures are used but the healing process causes surrounding scar tissue to form which further helps secure the grafts.In some cases spreader grafts can be placed during a closed rhinoplasty. For these cases they are slipped into a pocket similar to what you described.
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March 15, 2016
Answer: The spreader grafts are sutured in but then they fuse to surrounding structures If the spreader grafts are placed through an open rhinoplasty, sutures are placed to keep them immobile during the healing period. Most surgeons use long lasting absorbable sutures because over time the grafts will become fused to the surrounding structures through normal scar formation and fibrosis.
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CONTACT NOW March 15, 2016
Answer: The spreader grafts are sutured in but then they fuse to surrounding structures If the spreader grafts are placed through an open rhinoplasty, sutures are placed to keep them immobile during the healing period. Most surgeons use long lasting absorbable sutures because over time the grafts will become fused to the surrounding structures through normal scar formation and fibrosis.
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March 29, 2016
Answer: Rhinoplasty Spreader
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March 29, 2016
Answer: Rhinoplasty Spreader
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March 16, 2016
Answer: Spreader grafts in rhinoplasty Spreader grafts is a technique commonly used in rhinoplasty. The cartilage added to the dorsal strut of the nose can help strengthen and straighten the bridge. It can also improve breathing through the nose. There are a few ways spreader grafts can be secured in place. They can be slipped into a tight pocket, sutured (stitched) into place, or a combination of both. Over time the cartilage spreader graft will scar into place and connect with blood vessels which keep it alive and prevent it from absorbing. It is very secure at that point. If you have further questions regarding specific techniques, I recommend that you talk with your surgeon, who can show you more on a photograph or diagram.
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March 16, 2016
Answer: Spreader grafts in rhinoplasty Spreader grafts is a technique commonly used in rhinoplasty. The cartilage added to the dorsal strut of the nose can help strengthen and straighten the bridge. It can also improve breathing through the nose. There are a few ways spreader grafts can be secured in place. They can be slipped into a tight pocket, sutured (stitched) into place, or a combination of both. Over time the cartilage spreader graft will scar into place and connect with blood vessels which keep it alive and prevent it from absorbing. It is very secure at that point. If you have further questions regarding specific techniques, I recommend that you talk with your surgeon, who can show you more on a photograph or diagram.
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