According the photographic assessment post-operatively, the spreader group showed that 12 patients (80%) had central nose and 3 patients (20%) had mild deviation. While the post-operative VAC-Cosmetic results showed that one patient (6.7%) was not satisfied, 10 patients (66.7%) were satisfied and 4 patients (26.7%) were highly satisfied. The review of post-operative photography of non-spreader group showed that 10 patients (66.7%) were central while 5 patients (33.3%) were mildly deviated. The post-operative VAS-Cosmetic showed 3 patients (20%) were unsatisfied, 9 patients (60%) were satisfied and 3patients (20%) were highly satisfied.