Thin skin! Rhinoplasty implant exposed

Dear Popcornwitbutter:

     Thank you for your question.Without photographs of your nose and a physical examination it is difficult to answer your question. However, sometimes the skin and soft tissue envelope of the nose can be made "thicker" by using Temporalis Fascia between the implant and the skin surface. Personally, I do not like to use silicone implants, but in cases where cartilage graft augmentation is needed in thin skinned patient, Temporalis Fascia works well. Perhaps a revision to remove your silicone implant and replace it with cartilage/fascia nasal augmentation may work better. If your implant is too low, there maybe little aesthetic benefit of your nasal appearance to keep it. I recommend discussing your options with an experienced rhinoplasty surgeon for advise. The Rhinoplasty Society is a good place to start. Good luck and I hope this helps!

Without seeing a photo of your nose it is difficult to answer your question. However, sometimes the skin and soft tissue of the nose can be made "thicker" by using Alloderm or fascia between the implant and the skin surface. Personally, I do not like to use silicone implants, but in cases where cartilage graft augmentation is needed in thin skinned patient, Alloderm works well. Perhaps a revision to remove your silicone implant and replace it with cartilage/alloderm nasal augmentation may work better. If your implant is too low, there maybe little cosmetic benefit for your nasal appearance to keep it. I recommend discussing your options with an experienced rhinoplasty specialist for advise. Best Wishes. 

Having thin skin is a mixed blessing because excellent definition can be achieved but any irregularities can be easily seen. I am not a fan f silicone implants especially in patients with thin skin because of the problems you're experiencing. There is also added risk of implant movement or extrusion. It is difficult to make specific recommendations without pictures of your nose but the placement of a fascia graft between the implant and your skin is a possibility.

If the implant can be seen at 9 months post op, you should discuss this with your surgeon.  Revision surgery may be needed.