2 years post op and the skin at my nose tip is thinning - will this lead to an extrusion? (photo)

The nose tip appears to be getting thinner, with a noticeable protrusion, possibly indicating a problem with the silicone implant. If left unaddressed, there's a significant risk of the skin at the nose tip tearing and the silicone implant becoming exposed. It is advisable to promptly remove the implant and undergo corrective surgery.

Hi Reserved908112,

Based on your photo, the implant is putting pressure against your infratip and has thinned it enough to have some visible contour irregularity. Typically extrusion will be preceded by redness or an acute trauma to the area. Your skin is not yet red, and you didn't mention any tenderness, so barring trauma in the area you are not at immediate risk, but you are correct in having concern for the future potential of extrusion. At some point you should consider removing the implant and leaving the nose in its natural state, or using your own tissue to reshape the nose in a safe and permanent fashion.

Nasal silicone implants, are often fraught with complications, including extrusion due to the mobility of the nose. To counter this, you could get micro pellet fat grafting around the implant and nasal tip to soften and cushion the area where the silicone implant is. Additionally, hyaluronic acid fillers, may be an alternative choice to improve thickness and camouflage to the nasal tip.