When do you need a graphs and/or a bridge with Rhinoplasty/septoplasty?

Thank you for your question. I think rhinoplasty is one of the most beautifying surgeries that we do as plastic surgeons. Whether to use grafts or not is totally dependent on your individual anatomy. That is the beauty of doing noses, no two are the same. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate their on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

It is impossible to tell you what you need without photos and what is needed for YOUR NOSE. You need a consultation with a very experienced rhinoplasty surgeon. Look for natural results.

Grapfts are certainly beneficial in the appropriate patient when done judiciously and placed artistically.
Every nose is different and unique to that individual. What would be the best option and exact procedure would depend on an examination and discussion about desired outcome. Excellent results can be achieved with either a closed or open technique.
Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best interest. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS).

Robert Singer, M.D., FACS

La Jolla, California