9 months post op rhinoplasty, incision got infected and I can see the silicone. Is there any other way to heal an open wound?

I am sorry to hear about the problems you are experiencing after your rhinoplasty.  Of course, a detailed in person examination would be needed but from what you are describing it appears that the silicone implant is exposed through an open wound.  Unfortunately, once the implant has been exposed it will likely need to be removed.  The implant becomes seeded with bacteria from the nose making it very difficult to salvage.  In such a case, the implant would need to be ultimately removed and replaced with a graft using your bodies own cartilage.  

Hello and thank you for your question. Obviously, it's best to examine you in person and know the specific circumstances around your case to give you definitive recommendation. Generally speaking, it's hard to eradicate the infection or heal an open wound in the presence of a foreign body, in this case a silicone implant. Once the implant is removed, the infection controlled and the tissues cooled down, a revision rhinoplasty using autologous or cadaveric cartilage graft can be attempted. You should discuss your concerns with your surgeon. Best,

I'm sorry to hear you're having problems with an exposed silicone implant in your nose.  Once the implant is exposed to bacteria, it is very difficult and almost impossible to keep it.  Utilizing other opportunities including ear cartilage, rib cartilage, or AlloDerm become other options. You likely are going to lose the silicone implant in the dorsum of her nose.  Resuturing it has not been proven to work.