Are dark circles (I have them already) after rhinoplasty permanent & how can I prevent them?

Hello! Thank you for your question.Of course, edema and mild bruises will occur after surgery, but bruises will disappear within 7-10 days. it is not permanent.
Best regards!

If the doctor uses piezzo in the surgery, there is minimal or no bruising. The bruises that occur after the surgery should never be exposed to sunlight. Otherwise, there may be permanent scars. That's why you need to use creams and protect yourself from the sun's rays.

Much of the swelling and bruising occurs because of the rhinoplasty procedure. Fortunately, there are things you can control to minimize the chances of bleeding and swelling. First and foremost, would be to follow your surgeon’s specific recommendations for their postoperative protocol. You would have to avoid medications and supplements before and after surgery that can increase your chance of bleeding, such as ibuprofen, aspirin, motrin, vitamins C and E, and fish oil. You will want to avoid things that can raise your blood pressure. So, take your pain medications consistently to keep your pain under control and avoid strenuous activities. You want to decrease the swelling by keeping your head elevated after surgery by sleeping on a few pillows or in a recliner. You may consider taking Arnica or Bromelain, which can decrease the amount of swelling and bruising after the operation. With dark circles under the eyes, they can be improved with chemical peels and light or laser therapy depending on the cause.

By using piezo device and preservational techniques, this type of complications are very rate. İ havent seen a complication in my patients

Hemosiderin after rhinoplasty: Hemosiderin deposits can occur after bruising in people with pre-existing dark circles under their eyes. Usually it eventually resolves, but can take a few months. The best treatment is prevention. So take every possible route to avoid or minimize the bruising in the first place. Your surgeon will tell you those things to do to minimize bruising before and shortly after surgery, and he will most probably utilize those modalities available to the surgeon to minimize bleeding and resultant bruising During the surgery. Some surgeons use intravenous Decadron prior to surgery, which can markedly reduce postoperative bruising. Some surgeons mix TXA with their local anesthetic to further reduce intraoperative bleeding which results in postoperative bruising. Patients are usually advised to avoid aspirin Advil Motrin and other nonsteroidal anti-inflammatories for 10 to 14 days preoperatively since these too cause bleeding and postoperative bruising. There are a number of herbal products that some patients take which can cause bleeding and should be discontinued prior to surgery. Your surgeon will probably provide you a list of those substances. Most surgeons advise their patients to sleep in an elevated position for the first week or so after surgery and to apply cold compresses to the eyes on and off during the first 48 hours. some surgeons recommend Arnica before and after surgery and bioflavonoids which are the substances in pineapple juice to further minimize bruising. Despite all these efforts, some bruising may occur and may result in hemosiderin deposits. If so time and patience are the only treatments left.

The causes of dark circles are multiple. Bruising or ecchymosis following rhinoplasty is usually temporary but can make pre-existing dark circles appear worse. If tranexamic acid is administered during and/or after rhinoplasty ecchymosis can be minimized. A pulsed dye laser treatment can speed up the body's clearance of the extravasated hemoglobin caused by the surgery. Treatment of pre-existing dark circles depends on the cause.

Hi and welcome to our forum!
Hereditary hyperpigmentation of the periorbital region results in the deposition of melanin, a brown to black pigment, while yellow to brown hemosiderin deposits are composed of breakdown products of red blood cells (hemosiderin staining). The hemoglobin in these red blood cells normally carries oxygen from your lungs to other tissues. Disrupted blood vessels may leak hemoglobin into the soft tissues. There may be a temporary bruise. If excessive bleeding occurs, hemosiderin may accumulate in the superficial soft tissues, imparting a yellow, brown, or black stain to the skin surface.
After rhinoplasty, practice head elevation, application of ice, and bed rest to minimize the risk of excessive bleeding. Follow your surgeon's advice.
Best wishes...