Barbed suture technology has evolved over the past decade resulting in a variety of new techniques and improved technologies for better
fixation of soft tissues throughout the body. The use of barbed suture in facial reconstruction and for cosmetic purposes has been well described.
However, the use of this material for fixation of spreader grafts in rhinoplasty has, heretofore, not been reported. This novel technique has
improved the efficiency of spreader graft fixation in rhinoplasty, reduces cost and operating time and has a short learning curve.