What can be done to fix thin skin that seems like it's sticking to the cartilage? (Photos)

Dear tinyjesslie,I would see your surgeon regarding this matterIt depends on what is causing the pointiness, whether it is cartilage or the edge of the implantSomething temporary could be the use of fillers, if it is cartilage, it can be shaved down in the office with a needleThere are just several possibilities and your surgeon should know bestBest regards,

Dr. Nima

Member, American Academy of Facial Plastic and Reconstructive Surgery

Board Certified Facial Plastic Surgeon

Board Certified in Head and Neck Surgery

 

Thanks for the question. I would suggest release of the that area of skin with a needle (subcision) and possibly injection of a filler to lift the skin up. This is similar to how acne scars are often treated. A filler like Restylane or Juvederm would be temporary, but the combination of the needle release of the scar plus filler should be permanent or at least very long-lasting. The filler acts as a spacer, preventing the skin from attaching again to the underlying structure. Hopefully you get some collagen stimulation as well. I’ve also injected platelet rich plasma (PRP) in similar situations. Kind regards,Dr. Mehta 

It may be best to leave things alone.  Re-entering the area may make the skin thinner.  You also have two artificial implants in your nose and these increase the risk of infection if you have more surgery.  Your own temporalis fascia can be used if you do have another procedure. It can be placed over the graft and under your skin to provide an extra layer of cover.  You must carefully discuss the pros and cons with your surgeon.