What should I do if red blood spots remain after chilblains have disappeared?

Nov 29, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Red blood spots left after chilblains have healed can be improved by promoting local blood circulation, maintaining skin hydration and repair, avoiding irritating factors, allowing time for natural fading, and using gentle lightening methods when necessary. If the spots continue to enlarge or are accompanied by pain or ulceration, prompt medical attention is required. Gentle massage and warm compresses may help accelerate local blood flow.

After chilblains have healed, the remaining red blood spots can be improved by promoting local blood circulation, maintaining skin hydration and repair, avoiding irritating factors, patiently waiting for natural fading, and using gentle lightening methods when necessary. If the blood spots continue to expand or are accompanied by pain or ulceration, medical attention should be sought promptly.

1. Promote local blood circulation: Use gentle massage or warm compresses to enhance local blood flow and help metabolize trapped blood. Avoid vigorous rubbing. Apply warm compresses with water below 40°C for 10 to 15 minutes, one to two times daily.

2. Maintain skin hydration and repair: Use moisturizing products containing ingredients such as ceramides and vitamin E to strengthen the skin barrier, reduce moisture loss, and alleviate pigmentation. Apply two to three times daily, especially immediately after cleansing.

3. Avoid irritating factors: Protect skin from cold, sun exposure, and friction. Dress warmly and use sun protection. Avoid skincare products with strong irritants to prevent further skin damage and darkening of the blood spots.

4. Allow time for natural fading: Red blood spots are typically caused by subcutaneous bruising and will gradually fade with the skin’s natural turnover process, which may take several weeks to months. Avoid excessive intervention and refrain from using medications unnecessarily.

5. Use gentle lightening methods when needed: Under medical guidance, apply lightening products containing ingredients like vitamin C or niacinamide. Avoid self-administering strong whitening or spot-removing agents to prevent allergic reactions.

Daily care should include keeping the affected area clean and dry, wearing loose and breathable clothing, and consuming adequate vitamin C and protein in the diet to support skin repair. Avoid spicy and irritating foods to aid in the resolution of blood spots.