Spreader grafts are commonly used in the world of rhinoplasty (or nose job surgery). The technique involves the insertion of cartilage, usually taken from the patient's ear, rib, or septum. This device serves to reconstruct the middle part of the nasal bridge, making it more prominent.
A spreader graft may be needed for aesthetic or structural reasons. If the underlying cartilage of the nasal bridge is weak – either inherently or due to previous nasal surgery – it can collapse inwards, causing nasal obstruction and difficulty breathing through the nose. Essentially, a spreader graft spreads the nasal structure wider, increasing the space allowed for the airway. By building up this structure using a spreader graft, patients are able to breathe easier through their nose.
Spreader grafts may also be placed for cosmetic reasons. The bridge of the nose plays a major role not only in breathing, but also in the cosmetic appearance of the nose. Many patients wish to build up a weak or sunken bridge. By adding a spreader graft, the surgeon can increase the volume of the nasal bridge, pushing the sides of the nose outward and upward.
To insert a spreader graft, first the cartilage is harvested from the patient's body. Then, it is shaped by the surgeon; the exact contours depend on the goals of the surgery and the patient's anatomy. Finally, the spreader graft is inserted during rhinoplasty surgery. When using spreader grafts, the procedure is usually performed as open rhinoplasty, meaning that there will be an incision in the skin between the nostrils. Once the underlying nasal structure is exposed, the graft is positioned and sutured into position.
