Possible To Narrow Nose After Spreader Graft Made It Too Wide?

A revision can be done if your nose is too wide after having a spreader graft placed. The graft can be narrowed and replaced. I would  caution you not to proceed too soon after your most recent surgery. The nose can evolve and the overlying skin contract quite a bit over time so you want to make sure all the healing is complete.

It is very difficult to make the nose narrower in light of the fact that the spreader graft is in place.  There are some subtle maneuvers that can be performed such as trimming back the cephalic margin of the lower lateral cartilage in the scroll area to slightly narrow and reduce the nasal tip.  The only other option would be to narrow the spreader grafts which will be counterproductive to what was accomplished in the last revision.  Osteotomies will narrow the nasal bones if they have not been done already.

Hello, Kentucky.

Do not be discouraged. Generally the nose can be narrowed, even after two prior rhinoplasties.

You need to consult an expert in revision rhinoplasty. That doctor will focus on noses in his practice and have plenty of before and after photos to share with you so you can see how he handled similar cases.

Also, be sure to have computer imaging so everyone is in agreement on what the expected outcome will be.

When you consult, be sure to bring copies of all the records of the first two rhinoplasties, including before and after photos. Op reports and chart notes, also, of course.

Good luck.

 

Robert Kotler, MD, FACE

Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON

Author, THE ESSENTIAL COSMETIC SURGERY COMPANION.