I've had rhinoplasty about two months ago, this was my second operation. During operation, a small rib graft was placed on top of my nose bridge to increase height and create a small hump (and I guess to close open roof deformity). Now my skin is very thin over the graft and the graft itself is very visible. I am very worried that my skin is dying, is it possible? Is it possible to remove this graft from outside, I don't want anymore interventions to my nose? Thank you.
Nasal Skin is Very Thin After Closed Rhinoplasty, is It Dying? (photo)
Doctor Answers (3)
Rib Graft Exposure
Your rib graft was placed too superficial. Nasal implants should be place in a deep layer under the pericondrium and periosteum. Also the graft should be shaped for a smooth fit. The graft may or may not extrude.
Visible Graft and Thin Skin after Rhinoplasty
There appears to be no issue with tissue death, but the skin is very thin. The graft can easily be removed through a closed approach in less than 5 minutes. Alternatively, the graft could be reduced and then put back onto the dorsum. At any rate, 2 months may be too soon for any intervention. If the surgeon feels that the graft is thinning the skin to a great extent, the surgeon may remove it earlier. Kenneth Hughes, MD Los Angeles, CA
Closed Rhinoplasty Nasal Skin Concern
First off, your skin does not appear to be dying off. You have what can be seen following many rhinoplasty procedures where the skin is moderately thin - visible irregularities from underlying reshaping. I would not recommend removing the graft from an external approach. You might be better off waiting a longer period of time for things to evolve and stabilize. After all, you are only 2 months out right now. Hopefully your rhinoplasty surgeon will have some options for you to further improve the nose.