How Long Should Bruising Last After Rhinoplasty?

I am 11 days out from closed rhino and still have these dark purple/red "pools" somewhat under my eyes. 90% of my bruising has gone but these dark areas just wont budge and I am starting to get really nervous. They are located bilateral and not really "under" my eyes but more like where my cheek bone is and are about 1 cm long. I don't smoke, drink alcohol, take blood thinners etc etc and I am using arnica tabs and gel, eating papaya like it will make me a millionaire and developing OCD over this!! Thanks in advance.

Doctor Answers 18

Bruising from rhinoplasty lasts 7-14 days

In the majority of cases, most bruising is gone in approximately a week or two following the surgery. A few patients do get extensive bruising. There are a few cases of extended bruising lasting upwards of four weeks after a rhinoplasty to fully resolve. There are no long-term consequences with this; it just extends your social downtime.


Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Rhinoplasty bruising

Bruising is very variable afer any surgery depending on how a person bruises and the technique but most should resolve by two weeks. If it is really dark, it may last longer and if you get bruising of the cornea(redness) that could even last several more weeks but is unusual. 

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.4 out of 5 stars 27 reviews

Bruising after rhinoplasty

Experienced answer is from 3 weeks to 3 months. But nothing is ever exact. I have seen swelling last up to 6 months and in others last 2 weeks.

From MIAMI Dr. B

Bruising Following Rhinoplasty

Hi,

If you bruising persists another week, speak with your rhinoplasty surgeon regarding the use of warm compresses a couple of times a day.  We have found that warm compresses help dissapate the heme under the eyes.  With time is will resolve so be patient.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Duration of rhinoplasty bruising

You are right in thinking that most bruising will resolve within 7 to 10 days after rhinoplasty. But some patients do develop a longer recovery, which is not harmful but can be unnerving to the patients.  I like the arnica and the bromelein idea (in the papaya, also in pineapples).  But a recent study has also shown that you could consider a vascular filter IPL treatment or likely a vascular specific laser like pulsed dye, in order to break up the bruises more quickly.  That is what we now use in the office, and it's pretty slick.  If you are short on time, discuss this as an option with your rhino surgeon, it works.

Kevin Robertson, MD
Madison Facial Plastic Surgeon
4.7 out of 5 stars 13 reviews

Bruising after rhinoplasty

For the majority of patients, bruising can last up to 2 weeks. Some patients can certainly have bruising last for 4 weeks or even longer. Eventually your body will take care of the bruise and it will clear up. Until then, you may want to consider wearing makeup to camouflage the bruising. If you have any concerns, however, a proper physical exam is necessary and you should see your surgeon.

Sahar Nadimi, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 1 review

Bruising

We find that about 95% of our patients under 30 get minimal or no bruising and about 95% of patients over 40 get some notable bruising. In our patients, bruising usually resolves over approximately 10 days. Of course from time to time some discoloration can linger. Generally this resolves on its own over an additional week or two. Occasionally a lightening cream can help. Avoid the sun and speak with your surgeon! Good luck and don't worry!

Daniel G. Becker, MD
Voorhees Facial Plastic Surgeon
4.0 out of 5 stars 20 reviews

See surgeon if concerned

It can take a couple of weeks for bruising to go away, but if yours haven't reduced in prominence, I suggest you see your surgeon for an assessment. 

Healing after Rhinoplasty

Generally speaking, it can take 6 to 12 months to completely heal after surgery. Please keep in touch with your surgeon or his/her clinical team to discuss your ongoing concerns.

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 95 reviews

Rhinoplasty Bruising Recovery

Bruising after rhinoplasty is expected, especially for involved surgery with bone reshaping. Most bruising resolves within 2 weeks, but everyone heals differently. Some bruising may persist under the eyes for months.

Keeping your head elevated, maintaining the nasal splint/cast, ice, arnica montana, and following your plastic surgeon's guideline may help reduce rhinoplasty bruising. Speak with your rhinoplasty surgeon to help manage bruising with nasal surgery.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.