Grafting means taking, in the case of rhinoplasty, we’re talking about cartilage. Cartilage is the firm but soft material that creates most of the nose, the ear, et cetera. Taking it from one part of the body, in this case, generally speaking, the septum, which is the keel in the middle of the nose.
This is the bony, septum there, just sort of, in the middle, and it’s the part that stands out from that.
Taking the access, because we, most of it is unnecessary for function. And, using that as little slats, or little scaves of cartilage, to support and restructure and recontour, and reconfigure the nose. So, the most common routes that I’m using in rhinoplasty would be something called spreader grafts.
Spreader grafts are again little shims of cartilage if you will, sheets of cartilage almost like staves, that go on either side of the middle portion of the nose which is known as the cartilaginous vault. And they change the caliber or the width of that part of the nose to match the bony part of the nose.
The reason is to get ideal, there’s two reasons, one is function and the other is aesthetics. To get ideal dorsal aesthetic lines, which is the shadow line that extends from your eyes down to the tip of your nose.
You want those to be smooth in your final result. In order to do that, the width of this cartilaginous part, has to match the width of this bone part. So, this width has to match that width.
Those spreader grafts allow you to change the width to match the bony width and that’s one of the goals of this portion of the rhinoplasty. This is called the bony vault and this is called the cartilaginous vault. We want them to be of equal caliber.