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Facial Bruise (Contusion)

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.

Online Medical Reviewer: Daphne Pierce-Smith RN MSN
Online Medical Reviewer: Rajadurai Samnishanth Researcher
Online Medical Reviewer: Raymond Turley Jr PA-C
Date Last Reviewed: 5/1/2025
© 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.
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