Bruising under the eyes can occur after rhinoplasty. This bruising doesn’t last very long, but can last up to a week. Typically, it fades into a yellow-brown pigment over the next 7-10 days. Some individuals may have more bruising than others, but most individuals will not have bruising more than a day after their procedure.
Bruising is a result of trauma to the nose and facial muscles. The procedure can cause a micro break in the nasal bone or cut through the periosteum, the layer of tissue that covers the lower and upper surfaces. In order to minimize trauma and prevent bruising, surgeons elevate these tissues before executing the procedure. The bruising can be shallow or deep in the skin and fades with time.
Although the results of rhinoplasty are usually very beautiful, the surgery has some side effects and risks. One of these side effects is bruising, which may result in a “black eye” effect. The eyelids are the thinnest part of the body and are particularly susceptible to bruising during this procedure. Therefore, bruising may appear under the eyes, as blood vessels get trapped underneath them.
Blood-thinning medications, such as acetaminophen or timolol, are contraindicated during the procedure. They cause increased bleeding and bruising and should be avoided if possible. If these medications aren’t prescribed for you, your doctor will likely prescribe them after your surgery. It is important to follow any post-op instructions thoroughly. During the first few days following surgery, a cold compress or a bag of frozen fruit or peas can be applied to the nose. Taking nonsteroidal anti-inflammatory medications such as aspirin or ibuprofen will also help reduce the risk of bleeding.
Bruising around the eyelids and cheekbones after rhinoplasty surgery is a normal side effect of the procedure. It occurs as the body heals and blood leaks into the top layers of skin. The extent of bruising varies depending on each patient and the type of procedure performed. It takes time to heal and resolve. Bruising can last a week or longer, so be prepared for some bruising.
Some patients choose to stay indoors for a few days after the procedure to minimize the chance of further bruising. However, if you smoke, it may take a full week for the black eye to go away. Smokers should avoid smoking and alcohol for at least three weeks after the surgery to avoid complications. Smoking can affect the circulatory system, especially the minor capillaries. If you can, avoid smoking before surgery.
It’s important to seek the advice of a facial plastic surgeon who has performed rhinoplasty before. A skilled plastic surgeon can tailor the surgery to your needs and your face. Remember, the nose should not be the star of your face. People will notice your other facial features more, and a well-done procedure should enhance them. If you’re worried that your nose may look different after rhinoplasty, don’t worry. Dr WIlliam Portuese, a board-certified facial plastic surgeon in Hillsboro Oregon, will make sure your procedure will result in the best results possible.