Just Had Surgery for Silicone Bilateral Spreader Grafts?

I had a primary rhinoplasty/septoplasty done in 2010 to repair a deviated septum/dorsal hump. my breathing issues ended up returning along with a small bump so I scheduled a revision surgery. I was told during my consultation that my own cartilage would be used to create bilateral spreader grafts and the small bump would be shaved down. After having my surgery today I found out silicone spreader grafts were used instead, which makes me uneasy. Any advice/opinions would help! Thanks!

Doctor Answers 5

Silicone spreader grafts for rhinoplasty

I am not aware of any silicone spreader grafts, but you should check with your surgeon to see what was used. Personally, I strongly prefer using a patient's own cartilage for grafting. If there is not enough septum remaining, my preference is for conceal (ear) or costal (rib) cartilage.

Fort Lauderdale Facial Plastic Surgeon
4.9 out of 5 stars 82 reviews

Silicone Spreader Grafts

      This was probably not silicone but another type of synthetic material, which can be used for reconstruction.  Ask your plastic surgeon what this was specifically.  Kenneth Hughes, MD Los Angeles, CA   

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Spreader graft questions

If spreader grafts are required and you do not have enough septal cartilage to perform the task then a synthetic material may be indicated.  There are newer absorbable materials available for use as a spreader graft.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Implants for Spreader Grafts in Rhinoplasty

I have not heard of silicone material used as a spreader graft. You may be referring to the use of plastic polymer material (PLLA/PGA resorbable polymers) used for septal support or spreader grafts which are FDA- approved for that indication. I would check with your surgeon or get a copy of your operative note as you may have the wrong information.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Silicone Spreader Grafts

I don't know who told you that silicone was used to place spreader grafts but talk to your surgeon to find out exactly what was done. You can also ask for a copy of your operative report. Your anxiety may be unnecessary.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.