Facial Plast Surg 2019; 35(05): 467-475
DOI: 10.1055/s-0039-1695727
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Use of Spreader Grafts or Spreader Flaps—or Not—in Hump Reduction Rhinoplasty

1   Meridian Plastic Surgeons, Facial Plastic Surgery, Indianapolis, Indiana
,
Stephen W. Perkins
1   Meridian Plastic Surgeons, Facial Plastic Surgery, Indianapolis, Indiana
› Author Affiliations
Further Information

Publication History

Publication Date:
22 October 2019 (online)

Abstract

Hump reduction is one of the most common reasons patients seek cosmetic rhinoplasty. Spreader grafts or spreader flaps have become a key maneuver in supporting and reconstructing the nasal midvault after reductive profileplasty to prevent long-term functional and cosmetic sequelae. This article reviews the pertinent anatomy, describes indications for spreader graft or spreader flap placement, discusses surgical techniques and approaches for spreader graft placement, and describes complications of spreader graft use after hump reduction.

 
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