In most people discomfort and pain after rhinoplasty settles 24-48 hours after the surgery. In patients where the nasal bones have been narrowed, termed osteotomies, a minority of patients may find some sensitivity and discomfort over the bridge of the nose intermittently for several weeks. In addition there is some swelling on the inside lining of the nose that can result in symptoms of congestion, this can result in headaches particularly in sensitive individuals if coupled with other conditions such as hay fever. These patients may benefit from additional medications during the recovery period. Very rarely there can be other causes of headache and tiredness and it would be worth returning to your surgeon for further evaluation and treatment.