Under Eye Incisions Normal for Rhinoplasty?

Some surgeons will use small incisions at the top and side of the nose to help break the nose at rhinoplasty. These incisions are typically small (about 2 mm) and not very noticeable. They are more commonly used in patients with thick, strong nasal bones.

Some physicians use what is referred to as percutaneous osteotomies to narrow the nose and put the bones back into postiion. These are done through small incisions in the skin and typically heal without any problems. I hope this information helps.

Your doctor used these small puncture incisions to insert a tiny chisel-like surgical instrument called an osteotome. As he told you, these were used to allow access to break the nasal bones and create your new nasal shape. While most surgeons who do nasal bone osteotomies during rhinoplasty use internal access to these bones, some prefer the external incision approach, just as some surgeons use "open" rhinoplasty techniques (external incision) and others use "closed" rhinoplasty  techniques (all internal incisions).

As others have stated, these small incisions under your eyes usually heal just fine; speak with your surgeon if you have any concerns during the healing process, and avoid ultraviolet exposure (tanning booths or sun) to decrease the chances that the scars will darken permanently.

The incisions for rhinoplasty are primarily inside the nostrils (closed technique) and the incisions are often connected with a small incision across the skin between to nostrils (open technique). Small incisions are also occasionally made along the sides of the upper nose (1-2 mm) to facilitate "infracturing" narrowing to width of the nasal bones when seen from the front. These incisions are made to allow a very small osteotome (like a tiny chisel) to be used on the bone as it transitions from facial to nasal bones. They tend to heal quickly and leave minimal scar. So to answer your question, yes, this is normal.

Yes, these are small incisions used for lateral osteotomy, and they will heal very well.

Dr Taban