I have very thick skin around my nose. Will I get good results with silicone implant? (Photo)

Hello and thank you for your question. I do not ever recommend a silicone implant for the nose, as it has a high rate of infection, malrotation, and extrusion.  If you desire dorsal augmentation, diced cartilage wrapped in fascia is much safer.  Based on your
photograph, you may benefit from a tip refining rhinoplasty and an alar bas reduction.   Make sure you specifically look at
before and after pictures of real patients who have had this surgery performed
by your surgeon and not just a computer animation system.
The most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Thanks for your question. My opinion is - never put a silicone implant in the nose. Your new nose has to last you the rest of your lifetime. 20 or 30 years from now you can still get an infected silicone implants which cause the implant to break through the skin (extrude). This requires the implant to be removed and can cause skin scaring that is very challenging to correct. I would advise you have have rib grafts to augment your dorsal and tip profile not an implant. I hope this helps.

Hello. Now a days, we try not to use silicone implants, as the likelihood of extrusion or infection is still relatively high. Rib, ear or even cadaver cartilage grafts provide an excellent alternative to silicone.