What should be done about subcutaneous hematoma?

Patient's question:

I was injured two weeks ago. After the swelling on my face subsided, a small lump appeared under the skin on my cheek. It's not visible from the outside, but it hurts when pressed with my hand. How should I handle it?

Doctor's answer:

Bruising is usually caused by external force leading to the rupture of subcutaneous capillaries and bleeding. Since blood seeps out from the ruptured capillaries into the subcutaneous tissue, we can observe a bruised appearance on intact skin. It is best to make a small incision for drainage to allow blood clots to be removed, followed by compression bandaging. Early intervention is crucial, as delayed treatment may lead to the formation of a structure similar to a bursa, which can become problematic. It is recommended to decide on the treatment based on the severity and extent of the swelling.

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