Dismiss Modal

Types

Facial Bruise (Contusion)

Choose a preferred language

A bruise (contusion) happens when small blood vessels break open and leak blood into the nearby area. This can happen from a bump, hit, or fall. This may happen during sports, an accident, or during a fight. Symptoms often include changes in skin color (bruising), swelling, and pain.

The swelling from the bruise should decrease in a few days. Bruising and pain may take several weeks to go away.


Home care

  • If you have been prescribed medicines for pain, take them as directed.

  • To help reduce swelling and pain, wrap a cold pack or a bag of frozen vegetables in a thin towel. Put it on the injured area for up to 20 minutes. Do this a few times a day until the swelling goes down.

  • If you have scrapes or cuts on your face requiring stitches or other closures, care for them as directed.

  • For the next 24 hours (or longer if instructed):

    • Don’t drink alcohol or use sedatives or medicines that make you sleepy.

    • Don’t drive or operate machinery.

    • Don't do anything strenuous. Don’t lift or strain.

    • Don't return to sports or other activity that could result in another head injury.


Note about concussions

Because the injury was to your head, it's possible that a mild brain injury (concussion) could result. Symptoms of a concussion can show up later. Be alert for signs and symptoms of a concussion. Seek emergency medical care if any of these develop over the next hours to days:

  • Headache

  • Nausea or vomiting

  • Dizziness

  • Sensitivity to light or noise

  • Unusual sleepiness or grogginess

  • Trouble falling asleep

  • Personality changes

  • Vision changes

  • Memory loss

  • Confusion

  • Trouble walking or clumsiness

  • Loss of consciousness (even for a short time)

  • Inability to be awakened

  • Feeling "off" or slow as if in a daze


Follow-up care

Follow up with your doctor as directed.


When to seek medical advice

Contact your doctor right away if you have:

  • Swelling or pain that gets worse, not better.

  • New swelling or pain.

  • Warmth or drainage from the swollen area or from cuts or scrapes.

  • Fluid drainage or bleeding from the nose or ears.

  • A fever of 100.4ºF (38ºC) or higher, or as directed by your doctor.


Call 911

Call 911 if you have: 

  • Repeated vomiting.

  • Unusual drowsiness or trouble waking up.

  • Fainting or loss of consciousness.

  • A seizure.

  • Worsening confusion, memory loss, dizziness, headaches, changes in behavior, speech, or vision.

© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Find a doctor that's right for you.

From routine check-ups to groundbreaking treatments and beyond, Crestner Health is here to help you live your healthiest life.

Search our doctors
Related Articles
Read article
Skin Health
Facial Bruise with Sleep Monitoring

A facial bruise (contusion) can cause swelling, pain, and changes in skin color. Because a facial bruise is a head injury, monitoring for concussion symptoms may be needed.

Read article
Skin Health
Abrasions

Abrasions are skin scrapes. Their treatment depends on how large and deep the abrasion is. Read on to learn about general care when you are home and when to call the health care provider.

Read article
Skin Health
Understanding Epidermoid Cyst

An epidermoid cyst is a small abnormal growth in the top layers of the skin. These cysts grow slowly, and they can grow anywhere on the body. Learn about causes, symptoms, and treatment.

Read article
Skin Health
Understanding Black-and-Blue Nails

A black-and-blue nail (also called a black nail) is usually caused by sudden or repetitive injury to a toe. If your toe is black and blue but not injured, see your healthcare provider immediately.