Can spreader grafts be used on just the lower portion of my nose?

Hello and thank you for your question. Spreader grafts can be used in the lower 1/3 of the nose to help straighten the nose and correct indentations in the dorsal aesthetic lines. without affecting the upper nose.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. 

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

The pinched appearance after rhinoplasty can often be corrected by placing alar grafts, either through a closed or an open approach.  This also corrects breathing difficulties stemming from the loss of alar support

Spreader grafts are strips of (usually septal) cartilage that are placed alongside the uppermost aspect of the nasal septum and can serve to widen the internal nasal valve, improve indentations of the nasal sidewall, or both. Please don't get too caught up in what technique you need.  An ideal consultation involves a discussion between you and your surgeon about what you dislike about your nose. The surgeon, who has the expertise to know what techniques work to address your concerns,  then formulates a surgical plan. Computer imaging helps solidify the discussion. 

HiThe short answer is yes you can have spreaders only in the middle 1/3 of the nose but this is unusual as normally we are narrowing the nasal bones as well.  It is impossible to give an opinion about your specific nose without more photos.CheersDamien

Spreader grafts can be placed anywhere along the bridge, sometimes high, sometimes low, and sometimes the whole length. Depending on you medical and cosmetic needs, they can be customized to fit the form you are creating.

Dear rreschi,Yes, you can put spreader grafts anywhere you like to achieve the result you are looking forIt is best to discuss this with a Rhinoplasty specialist because there are some things to consider because your nose will look a little widerBest regards,Dr Nima