A hickey is a bruise. It forms when suction breaks small blood vessels under the skin, and blood leaks into the tissue. The body then has to clear that blood away, and that process takes time. There is no magic fix that erases a hickey instantly, but you can speed up the process with a few practical steps. The most effective approach combines immediate cold, later warmth, gentle massage, and simple camouflage while the bruise fades.
What Exactly Happens When You Get a Hickey?
A hickey forms when intense suction on the skin ruptures tiny capillaries. These are the smallest blood vessels in the body. When they break, blood seeps into the surrounding tissue. That pooled blood is what creates the red, purple, or dark mark.
The color changes over time as the body breaks down the blood. Hemoglobin in the trapped blood shifts color as it degrades. That is why a fresh hickey looks red or purple, then fades to green or yellow before disappearing. This is the same process that happens with any bruise.
Your body clears the blood through normal healing processes. White blood cells break down the pooled blood, and the remnants are carried away through the lymphatic system. This takes time. Most bruises fade within one to two weeks, though the exact timeline varies from person to person.
How Do You Make Hickeys Go Away? Step By Step
Step 1: Apply cold immediately. If the hickey just happened, put an ice pack or cold compress on the area. Cold constricts the blood vessels and reduces the amount of blood that leaks into the tissue. Apply it for 15 to 20 minutes at a time, with breaks in between. Wrap the ice in a cloth so you do not damage the skin.
Step 2: Switch to warmth after 48 hours. Once the first two days have passed, heat becomes helpful. A warm compress, a heating pad, or a warm shower increases blood flow to the area. Better circulation helps the body carry away the trapped blood faster. Apply warmth for 15 to 20 minutes a few times a day.
Step 3: Gently massage the area. Light massage can help break up the pooled blood and encourage drainage through the lymphatic system. Use your fingertips and apply gentle pressure in small circular motions. Do not press hard. Aggressive massage can worsen the bruise or damage the skin further.
Step 4: Use camouflage while it fades. A color-correcting concealer is the most reliable way to hide a hickey. Green or yellow color correctors neutralize the red and purple tones. Apply the corrector first, then a concealer that matches your skin tone, then set it with powder. This will not speed up healing, but it will make the mark less visible.
Step 5: Be patient. The body heals at its own pace. Even with the steps above, a hickey will take several days to fade. Some people heal faster than others. Age, skin tone, and overall health all influence how quickly a bruise resolves.
What Actually Works and What Is a Myth?
Several popular remedies circulate online, and most of them do not work. Rubbing a coin or spoon over the hickey does not break up the bruise. It can actually make things worse by causing more tissue damage. Arnica cream has some evidence behind it for bruise reduction, but studies are limited and results vary. It is worth trying if you have it, but do not expect dramatic results.
Toothpaste, ice cubes applied directly to the skin, and other common tricks are not supported by evidence. They can irritate the skin or cause burns. Do not apply anything to the skin that is not designed for it.
Vitamin K cream is sometimes used for bruising. Some small studies suggest it may help with certain types of bruises, but the evidence is not strong enough to call it a reliable treatment. The same applies to bromelain, an enzyme found in pineapple. Some research suggests it may reduce bruising, but human trials are limited.
When Should You Be Concerned About a Hickey?
Hickeys are generally harmless, but they can occasionally cause complications. In rare cases, the suction can damage a blood vessel more seriously. If the area becomes extremely painful, swollen, or warm to the touch, seek medical attention.
There have been rare reported cases of hickeys causing blood clots that travel to the brain. This is extremely uncommon, but it is a real risk. If you experience a severe headache, vision changes, weakness on one side of the body, or difficulty speaking after getting a hickey, seek emergency care immediately.
Most hickeys do not cause these problems. The vast majority heal on their own without any issues. But it is important to know the warning signs, just as you would with any bruise or injury.
How Long Does a Hickey Really Take to Fade?
Most hickeys last between five and twelve days. The exact duration depends on the severity of the bruise and how quickly your body clears the blood. A mild hickey might fade in three or four days. A deeper one can last two weeks or longer.
You can track progress by the color. Red or purple means the bruise is fresh. Green or yellow means the body is actively breaking down the blood and the mark is nearing the end of its life. Once the skin returns to its normal color, the healing process is complete.
If a hickey lasts longer than two weeks without fading, or if it changes in an unusual way, consider seeing a doctor. This does not happen often, but persistent bruising can sometimes signal an underlying issue with blood clotting or platelet function.
Can You Prevent Hickeys in the First Place?
Prevention is the only guaranteed way to avoid dealing with a hickey. The suction that creates a hickey is the same suction that happens during kissing or biting. Asking a partner to be gentler is the most direct approach. Communication is the simplest prevention tool.
There is no evidence that any supplement or cream can prevent bruising from suction. Some people take vitamin C or other nutrients to support skin health, but this does not stop blood vessels from breaking under intense pressure. The skin and blood vessels are simply not designed to withstand that kind of suction without damage.
If you get hickeys regularly, consider whether the intensity of the activity needs to change. Repeated bruising in the same area can cause more significant tissue damage over time. Giving the area time to heal between incidents is important.
Are There Any Real Medical Treatments for Bruising?
There is no prescription treatment specifically for hickeys. Doctors do not have a medication that removes a bruise faster. The body clears the blood on its own, and the process simply takes time.
Some dermatologists offer treatments for persistent bruising, such as laser therapy or intense pulsed light. These treatments can break down the trapped blood more quickly, but they are not commonly used for hickeys. They are expensive and generally reserved for more serious bruising or vascular issues.
Over-the-counter pain relievers can help if the area is tender. Acetaminophen is generally safe for this purpose. Avoid aspirin and ibuprofen in the first 48 hours, as they can thin the blood and potentially make the bruise larger. If you take these medications regularly for other conditions, talk to your doctor before stopping them.
Does Skin Tone or Age Affect How Long a Hickey Lasts?
Yes. People with lighter skin tones tend to show bruises more visibly, but that does not mean the bruise lasts longer. It just means it is easier to see. People with darker skin tones may not notice a hickey as quickly because the color is less obvious against the skin.
Age plays a role in healing speed. As we get older, skin becomes thinner and blood vessels become more fragile. This means older adults may bruise more easily and heal more slowly. The same hickey that fades in four days for a 25-year-old might take ten days for a 60-year-old.
Overall health also matters. Conditions that affect blood clotting, such as hemophilia or liver disease, can prolong bruising. Certain medications, including blood thinners, also slow the healing process. If you take blood thinners, expect bruises to last longer and discuss any concerns with your doctor.
Frequently Asked Questions
Can you get rid of a hickey in one day?
No. A hickey is a bruise, and the body needs time to clear the trapped blood. Cold, warmth, and massage can speed the process, but the mark will still take several days to fade completely.
Does rubbing a coin on a hickey make it go away faster?
No. Rubbing a coin or any hard object on a hickey can damage the skin further and make the bruise worse. There is no evidence that this technique works.
Is arnica cream effective for hickeys?
Some studies suggest arnica may reduce bruising, but the evidence is limited. It is safe to try, but results vary and it will not remove a hickey quickly.
When should you see a doctor about a hickey?
Seek medical care if the area becomes severely painful, swollen, or warm, or if you experience a severe headache, vision changes, or weakness on one side of the body. These symptoms are rare but require immediate attention.

