Can I Have a Spreader Graft Removed After a Revision Rhinoplasty? My Breathing is Worse.

Spreader grafts are designed to open the internal nasal valve.  If incorrectly positioned, however, they can result in worsening of the airflow.  A careful internal nasal examination will help determine the true cause of your nasal obstruction at present. 

Mario J. Imola, MD, DDS, FRCSC.

A spreader graft can definitely be removed during revision rhinoplasty, but it may not be to blame for your worsened breathing.  A useful way to evaluate your nasal valve area would be to look at your dynamic inspiration (breathing in and out) with an endoscope (small camera).  This provides a very clear view of the area where the spreader graft is (nasal valve), and would be useful to determine whether it really is at fault.  

The answer is - yes - spreader grafts can be removed if necessary. The real question is whether or not it is truly necessary to remove the previously placed spreader graft. You will need to seek consultation with an experienced revision specialist to be more certain.