Bruise Healing: Why Do I Have a Visible Indentation?

The bruise has healed but left a dent?

A year ago, I slipped in the bathroom and my thigh hit a pole, resulting in extensive bruising.
I also had a wound on my calf.
At that time, I went to a surgical clinic where they only treated the calf injury.
The doctor advised that the subcutaneous bleeding in my thigh would heal gradually.
After healing, I noticed a small elongated indentation on my thigh.
However, this year, after losing weight, the indentation has become very prominent and feels slightly sore when pressed.
Is this indentation a normal condition? Do I need to seek medical attention? Thank you.

Xiao Yu, 40~49 year old female. Ask Date: 2021/07/29

Dr. Peng Xianwen reply Surgery

The healing of wounds varies for each individual, and it is not possible to provide advice based on your description.
Therefore, it is best to return for a follow-up appointment with a physician to assess the wound.
Director Peng Hsien-Wen, General Surgery, Nantou Hospital.

Reply Date: 2021/07/29

More Info

When it comes to understanding the healing process of bruises and the appearance of indentations or scars, it's essential to consider several factors related to skin healing and tissue recovery. Bruises, or contusions, occur when small blood vessels are damaged due to trauma, leading to bleeding under the skin. The body gradually reabsorbs this blood, and the bruise changes color as it heals. However, the healing process can sometimes leave behind visible marks, such as indentations or scars.

In your case, the indentation you are experiencing on your thigh after the bruise from a year ago could be attributed to several factors. First, the skin and underlying tissues can change as we age or as our body composition changes. When you mentioned that you lost weight, this could have made the indentation more noticeable. Weight loss can lead to a reduction in the subcutaneous fat layer, which may make any underlying scars or indentations more prominent.

The fact that you feel some soreness when pressing on the indentation could indicate that the area is still sensitive or that there may be some residual tissue changes from the original injury. It's not uncommon for areas that have experienced significant trauma to feel different even after they have healed. The soreness could also be a sign of muscle or connective tissue tension in the area surrounding the indentation.

While it is not unusual for bruises to leave behind some form of scarring or indentation, it is essential to monitor the area for any changes. If the indentation becomes increasingly painful, shows signs of infection (such as redness, warmth, or discharge), or if you notice any new symptoms, it would be prudent to seek medical attention. A healthcare professional can assess the area and determine if any further treatment is necessary.

In general, if you have concerns about the appearance of the indentation or if it is causing you discomfort, it is always a good idea to consult with a healthcare provider. They can provide a thorough examination and may recommend treatments such as physical therapy, topical treatments, or other interventions to help improve the appearance of the scar or alleviate discomfort.

In conclusion, while the indentation you are experiencing may be a normal part of the healing process from your previous injury, it is essential to stay attuned to your body's signals. If you have any doubts or if the symptoms persist, do not hesitate to reach out to a medical professional for guidance. Your health and well-being are paramount, and seeking clarification on any concerns is always a wise choice.

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