Post rhinoplasy/septioplasty bruising. Is it normal? (photo)

I had surgery 4 weeks ago and the left side of my nose seems to have a large lump that's making the nose look uneven. I had osteotomies done as well. The bruising in the bridge isn't going away either, is that typical or should I be worried?

Doctor Answers 4

Bruising is usually gone by 2 weeks.

Everyone is different in the way that they heal following surgery. The bruising you show at 4 weeks does not appear to be normal I would consult your surgeon first and if that is not helpful you may want a second opinion. I get the sense that there is a graft under the skin or large open roof that has a large clot filling it. 

Good luck with your healing. Hope this helps.

Oklahoma City Facial Plastic Surgeon
5.0 out of 5 stars 61 reviews

Postoperative bruising after rhinoplasty: what is normal?

It is normal to have brusing after rhinoplasty particularly on the side of the nose, and underneath the eyes medially after osteotomies.  The bruising underneath your eyes usually resolves within 2 weeks. Occasionally there can be bruising over the bridge of the nose, but that usually resolves would be rare to persist after 7-10 days.  The appearance you have at 4 weeks is unusual...and raises the question of thin skin, and some kind of graft underneath. In any case, I would definitely consult with your surgeon, and with some sense of urgency if the discoloration is getting worse.

Thomas A. Mustoe, MD, FACS
Chicago Plastic Surgeon
4.8 out of 5 stars 97 reviews

Post rhinoplasty/septoplasty bruising. Is it normal?

     I would see your surgeon to evaluate your nose as this appearance is not the norm.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Post rhinoplasty/ septoplasty bruising

Dear Zepp,
I would not say that is normal.  I suggest that you see your surgeon for a postoperative appointment to address your concerns as soon as possible. Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 210 reviews

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