Are Dark Circles After Rhinoplasty Permanent?

Dark circles under the eyes are a
very common complaint that patients experience during the recovery stage of a
rhinoplasty. The dark circles subside in most cases, but it is a gradual
process that can take a few months. Considering you are still in the early
stages of your recovery (you are only one month in, and recovery can last up to
an entire year), try not to stress too much about it. In the meantime, you can
try to hide the circles with cover-up or concealer.

Your current concern suggests that there was moderate bruising after your surgery. This can lead to staining of the tissues with haemosiderin, a break-down chemical of haemoglobin. It affects more frequently the lower eyelids but can also occasionally affect he upper eyelids. The timeframe for this to settle is considerably longer than for simple bruising and can last for 4-6 months but generally clears completely.In some instances, the impression circles is due to the change in position of the nasal bones and the perception that the circles under the eyes are more visible. This is best addressed with fillers but after the swelling has settled better.The most likely scenario is that you will not need to do anything special about it apart from using some good camouflage makeup until they clear.

It is not unusual to have modest to slight bruising under the eyes after rhinoplasty. This is more prominent when the surgery involves the nasal bones. To reduce the incidence of bruising we have our patients off of supplements and medication that increase bleeding times. Arnica Montana is helpful. Once the Bruising is there you could have signs of it for 6 to 8 weeks but that's unusual. If it's bruising then it should totally resolve. Sometimes the pigment in the hemoglobin can be retained in the skin.This could require laser removal 3 to 6 months post op.