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
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If you have been prescribed medicines for pain, take them as directed.
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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.
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If you have scrapes or cuts on your face requiring stitches or other closures, care for them as directed.
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For the next 24 hours (or longer if instructed):
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Don’t drink alcohol or use sedatives or medicines that make you sleepy.
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Don’t drive or operate machinery.
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Don't do anything strenuous. Don’t lift or strain.
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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:
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Headache
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Nausea or vomiting
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Dizziness
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Sensitivity to light or noise
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Unusual sleepiness or grogginess
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Trouble falling asleep
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Personality changes
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Vision changes
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Memory loss
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Confusion
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Trouble walking or clumsiness
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Loss of consciousness (even for a short time)
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Inability to be awakened
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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:
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Swelling or pain that gets worse, not better.
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New swelling or pain.
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Warmth or drainage from the swollen area or from cuts or scrapes.
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Fluid drainage or bleeding from the nose or ears.
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A fever of 100.4ºF (38ºC) or higher, or as directed by your doctor.
Call 911
Call 911 if you have:
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Repeated vomiting.
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Unusual drowsiness or trouble waking up.
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Fainting or loss of consciousness.
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A seizure.
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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.