Misplaced spreader graft - Is it possible to displace a spreader graft by palpitating area frequently with slight pressure?

Hi, I had a primary rhinoplasty done 9 months ago. The doctor inserted spreader grafts for cosmetic reason Im happy with my results so far. At 7 months post op I starting feeling an indent on lower bridge that I frequently palpitate. Is it possible to displace a spreader graft by palpitating area frequently with slight pressure?I also used to press my bridge quite frequently at 5 months post op to see if a bump was swelling or bump, How likely is it that I may have misplaced the spreader graft?.

Doctor Answers 3

Displaced spreader grafts

My suspiscion is that you are palpating areas and seeing areas along the dorsum of your nose where there is a transition between the nasal dorsal bone, the septal cartilage, and the spreader grafts.  You may have not seen this slight irregularity previously due to the swelling that you had in the area but as time has gone on, it is likely a small void of either bone or cartilage.  Unless you were palpating very hard in the area, you likely did not displace the spreader graft.  However, spreader grafts can shift without any provocation at all.  The key is that you are happy with your results.  If this slight irregularity becomes more obvious, an injection of dermal filler will camouflage this irregularity quite nicely.

Chevy Chase Facial Plastic Surgeon
4.7 out of 5 stars 30 reviews

Spreader grafts

I suppose manipulating an area might cause displacement of a spreader graft but it is unlikely.  AN exam in person may be helpful.  Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Displaced spreader graft?

I guess it is possible to shift a cartilage graft with frequent manipulation;  on the same token, it is possible for a graft to shift even by itself. Speak to you surgeon to figure out the nature of the problem. 

Alexander Ovchinsky, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 30 reviews

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