How to Get Rid off Bruises Under my Eyes After Rhinoplasty

Bruising around the eyes after rhinoplasty can occur but should be minimal.  Avoiding aspirin, ibuprofen, alcohol, and certain vitamins/herbal remedies prior to rhinoplasty surgery will help prevent bruising.  Arnica Montana has been shown in some studies to help prevent bruising if taken before and after nose surgery.  You can also try Arnica Montana gel which may also help with bruising.  Lastly, cold compresses do help for the first 3-4 days and then warm compresses may help with the discoloration afterwards.  

It’s not unusual for patients to experience bruising following rhinoplasty surgery. When the nasal bones are fractured, it’s not unusual for the bruising to include the eyelids. In most cases bruising resolves in 2-4 weeks following surgery. Unfortunately when discoloration lasts for longer periods of time, other explanations are more likely
                Under these circumstances hemosiderin desposition may be a more likely explanation. This problem occurs when patients experience bleeding following rhinoplasty surgery. This can result in red blood cells permeating the soft tissue in the involved area. Over the course of time these red blood cells and their hemoglobin are broken down and degraded. One of their byproducts is hemosiderin.

                Hemosiderin can stain the soft tissue. Although this staining isn’t permanent it can take years to breakdown, resolve and disappear. Unfortunately there’s no treatment that can accelerate the process. 

Bruising, like swelling, is a very common side effect of undergoing a nose job. Unfortunately, my best advice would be to just be patient with your body’s healing process and to let the bruising run its course. Like you said, the bruising will go down over time. Arnic gel application and oral arnica intake before and after surgery has been known to reduce bruising. You should also avoid medications that can increase bleeding time, such as aspirin and Motrin. Applying cover-up or concealer to the region can also be an effective way to hide the remaining bruising. Also, try avoiding touching the bruising and any other such contact as much as possible and avoid smoking cigarettes if you can. 

Please talk to your surgeon for advice on how to deal with your bruises. Some things, like not smoking, not touching your nose, and following your surgeon's post-op instructions closely help greatly.

Only time will help for the very last bit to go away. The hemosiderin is the pigment that is there as the blood is broken down. A good make up artist can help greatly.