Bruised Face: Care Instructions

Overview

You can get a bruise (also called a contusion) on your face if you fall or if something hits you in the face. Small blood vessels get torn and leak blood under the skin.

Most people think of a bruise as a black-and-blue spot. But bones and muscles can also get bruised. This may damage deep tissues but not cause a bruise you can see.

Your doctor will ask questions about how the injury occurred. The doctor will examine you and will gently press on your face to find areas that are tender. The doctor will check your eyes, how well you can move face muscles near the bruise, and your feeling around the area to make sure there isn't a more serious injury, such as a broken bone or nerve damage. You may have tests, including X-rays or other imaging tests like a CT scan.

Bruises may cause pain and swelling. But if there is no other damage, they will usually get better in a few weeks with home treatment.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and contact your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

• Put ice or a cold pack on your face for 10 to 20 minutes at a time. Put a thin cloth between the ice or cold pack and your skin. Try to do this every 1 to 2 hours for the first 3 days (when you are awake) or until the swelling goes down.
• Sleep with your head slightly raised until the swelling goes down. Prop up your head and shoulders on pillows.
• Ask your doctor when it's okay to return to your normal activities.
• Be safe with medicines. Read and follow all instructions on the label.
  • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
  • If the doctor gave you a prescription medicine for pain, take it as prescribed.
  • Store your prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely. Your local pharmacy or hospital may have a drop-off site.

When should you call for help?

Contact your doctor now or seek immediate medical care if:

• You feel dizzy or lightheaded or like you may faint, or you suddenly become very sleepy or confused.
• You have vision changes.
• Your pain gets worse.
• You have new or worse bleeding.
• You have new or worse swelling.
• The area near the bruise is tingly, weak, or numb.

Watch closely for changes in your health, and be sure to contact your doctor if:

• You do not get better as expected.