Graft in Tip is Showing Through Skin? Is It an Implant? 6 Months Post Op Rhinoplasty

My surgeon and I did not discuss any sort of implant but 6 months post op I appear to have a small, circular implant on my tip that sometimes shows in bright light. When I touch the area, it feels hard, and so I'm thinking it's probably some kind of implant. I had no idea he did this. I actually really like the way my nose is healing and I don't want to go in for a revision. But I really think the circle thing looks weird--did he do a poor job of placing it? It's not usually visible, however

Doctor Answers 12


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You are suffering one of the complications of tip grafting. This one of the reasons tip grafting is not as popular as it was in the pasr. More than likely you have a cartilage graft as alloplastic materials don't always do well in the tip of the nose. Ask your surgeon

Los Angeles Facial Plastic Surgeon

Nasal Tip Graft Showing Through Skin

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A cartilage tip graft which is used to increase tip definition or projection may feel firm after placement. Just ask your surgeon what was used and tell him you think it looks weird. My only concern when you say you can see it, is to make sure the graft is not pressing on the skin which could compromise skin circulation. Have your surgeon examine your 6 month result. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Graft in Tip is Showing Through Skin? Is It an Implant? 6 Months Post Op Rhinoplasty

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This sounds like a cartilage onlay graft to the nasal tip which can be used during a Rhinoplasty.  You would have to ask your Rhinoplasty Surgeon what it was for verification.  Edges may soften over the next 6 months.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Visible Tip Cartilage Graft After Rhinoplasty

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Almost undoubtably, this is a cartilage tip graft and not an implant.  This is a standard rhinoplasty technique, while not as commonly done as it was a decade ago, is still a valid tip reshaping technqiue. The outline of such grafts can ultimately appear as thin nasal skin contracts around it many months later in some patients. Whether this is worth revising or not is a discussion that you need to have with your original plastic surgeon. It is a balance of how much it bothers you versus is it worth the effort of a tip revisional procedure in a nose that otherwise has no other problems.

Nasal tip issue

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What you are describing sounds lip a nasal tip graft that many surgeons use to augment the tip and refine the shape.  At 6 months it is a bit early to go back in to remove it.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Implant in nose?

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It's probably a graft made out of cartilage. It's a little early for it to show to the extent that you don't like it. If it is red at all you should see your surgeon promptly.

Tip grafts are common in rhinoplasty

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The tip is commonly supported with a visible tip graft in rhinoplasty to improve both shape and projection. The graft is most often natural cartilage and is not an 'implant', though you should ask your surgeon and understand what was done.

Best of luck,

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Graft visible on tip after rhinoplasty

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It isn't uncommon to place cartilage grafts during rhinoplasty. There can be issues in patients with thin tip skin, though, so this may be what you're seeing. The fluctuating visibility may be due to changes in the overlying skin edema. This can change with activity level, salt intake, etc.

You can ask your surgeon to check it out to see what he thinks.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Tip Graft Showing through the Skin

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It may be a cartilage graft. The skin in the tip of your nose is very thin so if the graft is not place right, no matter what kind of graft it is, it will show through the skin. Ask your surgeon what he/she put there.




Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Graft shows on nose

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The best recommendation I have for you is to see either the operative surgeon or a different surgeon or both. Grafts to the tip of the nose sometimes show. without an examination one can not tell if it is cartilage or foreign material. Option do exist for improvement.

Rick Rosen, MD
Norwalk Plastic Surgeon
4.8 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.