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Bruising itself usually cannot be treated and should be allowed to disappear on its own as the body reabsorbs the blood. A cold compress can help reduce any swelling associated with the bruising. As swelling subsides, a warm compress can be used to help speed reabsorption of the blood. Makeup is available to help cosmetically camouflage bruises. It can be found in cosmetic departments and is excellent at covering bruises.
Avoiding prolonged exposure to the sun, particularly during peak hours of the day (between 10 a.m. and 4 p.m.), is the most important step in preventing new damage to the skin and capillaries. Protective clothing, such as long-sleeved shirts, should be worn in the sun to help avoid damage. Use of sunscreens can also help to prevent new damage but cannot reverse damage that has already occurred. Lifelong protection from sun exposure can prevent the development of actinic purpura in susceptible individuals during their senior years.
Alpha-hydroxy acid and tretinoin creams are sometimes prescribed to help increase skin thickness in those with thin skin. Some women can also use lotions containing the hormone progesterone to help thicken skin. Long-sleeved shirts and pants may also provide extra protection from the sun.
People who bruise easily can also reduce their risk of minor bumps and injuries by reducing household clutter. Wearing long-sleeved shirts and pants also offers some protection against the shear forces and light trauma that provoke bruising.
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