Extended and Extensive Bruising After Rhinoplasty, What Can Cause?

It is possible that you have developed hemosiderin or iron deposit staining around the eyelid regions. This can be a result of the blood leaking out of the capillaries during your rhinoplasty into the skin. This will often improve over time and occasionally skin lightening agents can help. I would discuss this with your rhinoplasty surgeon.

As I agree with Dr Aldea as for possible hemosiderin staining, I would seek in person opinions to determine if other issues are at play. 

Cynical surgical lore states that one way or another ll bleeding stops. Nose surgery bleeding cannot and does not continue or days much less for months. What ou are seeing permanent staining of tissues by an iron containing breakdown product of blood called hemosiderin. This situation is unfortunately very hard to correct. 

Generally speaking, bruising should clear within 2 weeks or so after rhinoplasty.  It sounds as though you may have hemosiderosis from prolonged bleeding or stasis (blood that collects in a pool under the surface).  It is more commonly an issue in areas that have poor circulation.  The same can cause localized swelling.  I would recommend gentle massage, warm compresses and vitamin K cream.  Lasers directed at pigment have been very successful as well.

In 35 years of rhinoplasty work, the bruising has always resolved, although it is rare but possible that  a minimal amount can persist for months. This is secondary to hemosiderin in the blood which has caused the bruise. Tired eyes are not related to the rhinoplasty unless peri-orbital swelling is present. Please send pictures.