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Hello, It is common that dark circles form under the eyes due to the intensity of the surgery and the anatomical composition of the facial tissues. I recommend that you have a little more patience and follow your surgeon's instructions to keep on a good recovery pace and let nature take its course. I hope this helps and the best of luck to you. Dr. Sajjadian
Dark circles secondary to bruising should resolve with time given sufficient time to do so. Occasionally, this may take longer.
Bruising underneath the eyes is quite common with a rhinoplasty procedure and this can persist for weeks. The real question is how much of this was present before the operation vs. after and only photos will tell. If this is bruising underneath the skin, then there is no cream that will improve this - just time. If this is related to superficial pigment of the skin, then perhaps a bleaching cream will help. Best of luck,.
Lower eyelid post-reactive hyperpigmentation is not too uncommon after surgery. Contact your surgeon and determine his/her feelings about possible "bleaching creams."
The persistent dark circles after Rhinoplasty is common. It occurs and is more noticable in thin skinned individuals and is the results of the accumulation of the blood tinged bruising fluid which can accumulate in the lower eyelid. You can speed up the lightening of this problem with a light massage usng a non-oiled based moisturizer. Have used this approach in most of my rhinoplasty patients and it seems to work well.
There are a lot of tiny nerves in your nasal tip. Surgery causes swelling and even after the swelling abates there is scar tissue. The tiny nerves can get caught in scar tissue and this is what leads to the tingly feeling. It is unlikely that more surgery will affect this...
The breathing difficulties you describe are typical and normal for many patients. You probably have a lot of swelling and it should resolve with time. Many patients struggle with recovery time expecting quick, almost instant results as far as breathing and appearance of their nose. Although...
Yes, IMHO rib cartilage, rib bone, calvarial bone and irradiated cartilage all have the tendency to dissolve unevenly (appears as warping) creating dips and depressions. I prefer using a straight, silastic dorsal grafts for building up the nasal bridge.