Reconstructing the dorsum of the nose can be a challenging part of airway reconstruction or rhinoplasty. The nasal dorsum can require reconstruction when there has been previous trauma or when their has been previous corrective surgery to the nose. When the nasal dorsum has irregularities or when the airway is compromised, spreader grafts are needed to either open up the airway or improve the dorsal contour. The nose can remain swollen to some degree for a year or 18 months after rib grafts are placed into the airway. Limitations are placed on activity for approximately 2-4 weeks after rhinoplasty or airway surgery. After this time, activity is encouraged for the periodic swelling to improve.