How to Place a Spreader Graft So It Won't Be Seen Externally on a Thin-skinned Patient?

 Spreader grafts are placed underneath the upper lateral cartilage and skin that is present in the mid third of the nose.  They are placed for patients  who have a concave upper lateral cartilage or inverted cartilages in this area. The spreader grafts can be softened or morselized, so that they are not as stiff  in thin skin noses.   Spreader grafts  can be done for breathing issues as well as cosmetic purposes

Spreader grafts are used to open up the middle vault that has collapsed or to use to improve an inverted-V deformity, or to correct a septal deflection. They will make the middle vault slightly wider.

Although complications can occur even in the hands of excellent surgeons, rhinoplasty results do depend on the skill and experience of the surgeon. Undetectable spreader grafts can be placed in thin skinned individuals; sometimes fascia is placed over the grafts if necessary.