Can anything be done about rib graft protrusion?

If only a small edge is visible, sometimes it can be softened by shaving it in the office with a needle under local anesthesia.  If it is a large visble area, then a small revision may be necessary to revise the graft either my softening its edges or camouflaging it with an additional graft of temporalis fascia or acellular dermis.  

  When a rib graft has been placed in patients with thin skin, the edges can show through. There are 2 options that are available which would include removing the implant shaving it and softening the edges or potentially wrapping it in some type of fascia layer or inserting a piece of fascia over the top of the graft. fascia can be harvested from behind the ear or from the scalp.

Yes the graft can be removed, smoothed and contoured and replaced. In some patients who have thin skin or skin that tends to contract around the graft and show it's edges it can be helpful to cover the graft with a layer of temporalis fascia or alloderm. This supports the skin while it is healing and  soften the tendency to show sharp edges.