Extended and Extensive Bruising After Rhinoplasty, What Can Cause?

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.