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The use of nasal spreader grafts cannot be underestimated for their ability to improve chronic nasal congestion. Spreader grafting is a nose reshaping procedure that reconstructs the mid-dorsum or middle vault of the nasal bridge.

Woman having the sides of her nose pressed on by a doctor

What Does a Spreader Graft Do?

The most common reason for the placement of a spreader graft is to prevent mid-nasal collapse and improve breathing functions, especially for patients with internal nasal valve narrowing or chronic nasal congestion. The internal nasal valves are situated in the narrowest area of the upper airway.

The spreader graft may also improve an individual’s cosmetic appearance by adding volume through the middle nasal vault for those with a narrow middle vault or a collapsed upper lateral cartilage, conditions that make the nasal bridge appear narrow, pinched, or crooked. The placement of the graft pushes the side of the nose outwards, helping to restore a more aesthetically pleasing brow-tip line.

The use of spreader grafts is also beneficial in strengthening the structural integrity of the nose following a dorsal hump removal or previous rhinoplasty.

How Is the Nasal Spreader Graft Implanted?

Placement of spreader grafts can be performed during both open and closed rhinoplasty approaches or even without rhinoplasty. The open rhinoplasty approach is more commonly used because of its improved visualization benefits that allow accurate fixation of the cartilage grafts.

The spreader graft is not visible as it is placed between the septum and lateral walls. 

This is a more beneficial alternative to over-the-counter breathe right strips, which only offer temporary solutions to your persistent breathing problems.

Spreader grafts are made from a patient’s cartilage, which may be harvested from different sources, including the septum or ear. The most preferred source is the nasal septum; however, if the cartilage is too scarce, grafting material may be removed from the ear. The spreader graft is placed on each side of the septum—between the caudal end of the nasal septum and the upper lateral cartilages, which widens the narrowed area and opens up the internal nasal valve.

Why Should I Choose Dr. Knowling?

Your chosen rhinoplasty specialist should have a deep understanding of the internal nasal valve to avoid a poor outcome. Dr. Knowling is the only doctor in the area that offers the nasal spreader graft.

Interested in Learning More?

During your consultation, Dr. Knowling will carefully review your medical history and perform a nasal endoscopy to examine your nasal anatomy to plan your surgery. If you have trouble breathing or are unhappy with the appearance of your nose due to nasal valve damage, contact us at 256-881-2220 or fill out our online contact form to schedule your consultation.