Under Eye Incisions Normal for Rhinoplasty?

Some surgeons will use small incisions at the top and side of the nose to help break the nose at rhinoplasty. These incisions are typically small (about 2 mm) and not very noticeable. They are more commonly used in patients with thick, strong nasal bones.

Some physicians use what is referred to as percutaneous osteotomies to narrow the nose and put the bones back into postiion. These are done through small incisions in the skin and typically heal without any problems. I hope this information helps.

Your doctor used these small puncture incisions to insert a tiny chisel-like surgical instrument called an osteotome. As he told you, these were used to allow access to break the nasal bones and create your new nasal shape. While most surgeons who do nasal bone osteotomies during rhinoplasty use internal access to these bones, some prefer the external incision approach, just as some surgeons use "open" rhinoplasty techniques (external incision) and others use "closed" rhinoplasty  techniques (all internal incisions).

As others have stated, these small incisions under your eyes usually heal just fine; speak with your surgeon if you have any concerns during the healing process, and avoid ultraviolet exposure (tanning booths or sun) to decrease the chances that the scars will darken permanently.