Are There Different Placements for Spreader Grafts?

I was reading an article that made it sound like spreader grafts can be placed internally or externally. I was wondering what the differece is between the two? Is external done with open and internal done with closed rhinoplasty? Is the aestetic results of each different (The article made it seem so)? Which is more popular for internal valve collapse and inverted V deformity? Thanks!

Doctor Answers 11

Placements of spreader grafts

The only difference is the entrance incision to get inside the nose. The grafting procedure is identical.  Spreader grafts are placed in the same location with either the closed technique or open technique. The spreader grafts are also used to help an inverted V deformity along with osteotomies when needed.  If only spreader grafts are being placed, there is absolutely no reason to perform an open rhinoplasty since the incision inside the nose for the spreader graft is only one-quarter inch long on each side of the nose.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 146 reviews

Spreader Grafts

Spreader grafts are used to correct breathing problems by placing the cartilage to open the internal nasal valve between the septum and the upper lateral cartilages. They are also used to correct the inverted V deformity and the hour glass deformity.They can be placed using the open or intranasal technique.

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

Are There Different Placements for Spreader Grafts?

 No, the article was speaking about something different as the spreader grafts are placed inside the nose along the junction of the nasal septum to the upper lateral/lower lateral cartilages.  Aesthetically spreader grafts make the nasal tip area wider and for that reason, I do not use them...I do however remove them frequently because patients do not like the way the spreader grafts make the tip look.  Be certain you understand that before having them or you'll have another Rhinoplasty to have them modified.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 26 reviews

What area spreader grafts in rhinoplasty?

For a patient with a very narrow middle portion of the nose or a curved middle portion, we can place a small match-stick like graft of cartilage on one or both sides of the septum to help widen and straighten the area.  They can be placed during open or closed rhinoplasty- either is fine, though open is certainly easier.


Spreader grafts can help with breathing problems from a very narrow nose ( internal valve collapse). They can also help with curvatures or deformities at the bone- cartilage junction of the upper middle nose ( inverted V deformity).  Other small grafts may also be useful to treat this problem.


Technical details about grafting and surgery are best discussed with an experienced rhinoplasty plastic surgery.


Michael Suzman, MD
New York Plastic Surgeon
4.8 out of 5 stars 28 reviews

Spreader graft

Spreader grafts are used to open up the middle vault of the nose that works like bellows.  These are usually cartilage grafts that are secured to the septum and upper lateral cartilages sometimes on one side or both.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Spreader graft placement

Spreader grafts are used to treat narrowed or collapsed internal nasal valves and an inverted V deformity. They're usually placed via an open technique, but they can be placed using a closed approach as well.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Spreader Grafts


There is an internal and external Nasal Valve. Spreader grafts are usually placed for internal nasal valve collapse between the upper lateral cartilage and the septum. This is usually done through an open approach but can be performed through a closed approach. This is also used to correct an inverted V deformity. The external nasal valve is located between the upper and lower lateral cartilage. Typically a alar batten or butterfly graft is used to open the external nasal valve. This is also done through an open approach. See link below.




Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 274 reviews

Spreader grafts in rhinoplasty can help appearance and breathing

Spreader grafts used in rhinoplasty were developed for closed rhinoplasty, and adapted and used in open rhinoplasty as well. The purpose is to hold the space in the internal nasal valve to support the airway, and used also to prevent and inverted 'V' on the nasal bridge which followed hump reduction. There are very many types of spreader grafts and they can be used for aesthetics, or for function, or both. Popular is not how we would describe them, just a tool with many variations to used in a way that meets the need at the time.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 43 reviews

Spreader grafts may be used to improve the appearance and function of your nose during Rhinoplasty Surgery.

A spreader graft is typically harvested from your nasal-septal cartilage, and may be sutured to the top of your septum to reposition your upper lateral cartilage and improve an indentation or crooked appearance. Spreader grafts may be used to repair an inverted-v deformity. I nearly exclusively use an external approach for placing spreader grafts, and these grafts may be placed to repair internal valve collapse.

Hope this helps.

Dr. Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 421 reviews

Spreader grafts and placement

There are multiple locations for spreader grafts that can be placed.The issue is what is the specific deformity and what treatment will achieve the most effective result.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.6 out of 5 stars 14 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.