Is a Spreader Graft Necessary to Fix Nasal Valve Collapse?

The question you ask is simultaneously both simple and complicated. The essential truth is that both grafts will help with correction of a crooked nose and both will help with functional problems. However, there are subtle differences between the 2 options.

Difference #1: Approach

I do spreader grafts through a closed approach typically, but many surgeons will only place them using an open approach. If an open approach seems like too much surgery for a single graft, then many surgeons will use an onlay graft instead, which can always be done closed and is technically much simpler.

Difference # 2: Airway affect

If your nasal sidwall collapses when you inspire, then too much cartilage was removed at the first surgery and you probably need an onlay graft more than a spreader graft. A spreader graft will lift and support the cartilage but not strengthen it.  An onlay graft will add strength to the underlying cartilage that is weak by helping to stiffen the sidewall. Conversely, if your valve is narrow but not collapsing, a spreader graft is a better choice becuase it actually lateralizes the canopy cartilage, opening up the airway. In more extreme deviations with collapse, I will often use both a spreader and an onlay.

Difference # 3: Cosmetic effect

A spreader graft will give more subtle deviation correction and it tends to add width only paradorsally (that is closer to the center of the profile). I personally like this cosmetic effect more than the effect you see with onlay grafts. Onlay grafts add width in the entire nasal sidewall, which results in a slightly wider looking nose with less shadow contrast. However, for more extreme nasal deviations, onlay grafts give bigger corrections and are a little more predictable. Again, sometimes I will use both in a single patient.

 

Besides these differences, there are other technical ones that are less important, such as donor cartilage availability and swelling after surgery. All in all, neither is a bad choice. If you are using a reputable surgeon with a good track record of success, then follow their suggestion, as it is probably based on their impression from your examination.

Best of luck

Spreader grafts may be harvested from nasal septal cartilage and are useful for both functional and aesthetic nasal concerns. These small pieces of cartilage may be 10 x 3 mm, and are typically sutured to the top of your septum to move your upper lateral cartilage outward - this may lead to a straighter nasal appearance and improved breathing. Hope this helps. Dr Joseph

In most cases, a spreader graft is not needed in primary rhinoplasty. However, I usually use it to correct internal nasal valve collapse after secondary rhinoplasty. It is also indicated for the deviated nose as well as correction of functional deformity from a secondary rhinoplasty, or if you want to widen the dorsal aesthetic lines. In most primary rhinoplasty patient cases, it is not necessary and does create a wider dorsum which is aesthetically unpleasing.