I Have a Knot on my Left Cheek Bone Due to Being Punched is This Normal?

There is nothing unusual about having a hard "knot" after severe soft tissue injury like a punch. However, the more concerning issue is the possibility of an associated maxillofacial fracture. A Facial Plastic Surgeon or Plastic Surgeon will be able to assess whether you have any associated facial fractures. It's better to find out sooner than later as missed facial fractures can result in long-standing cosmetic or functional issues. I hope this information is helpful.Stephen Weber MD, FACS

It's not uncommon for trauma like this to lead to internal bleeding into the soft tissues, resulting in the localized firmness you're experiencing.

While this could indeed be a result of internal bleeding, it's also important to consider the possibility of facial fractures. Given the nature of your concern, I recommend seeking a comprehensive evaluation from an experienced Facial Plastic & Cosmetic Surgeon.

Consulting with me will provide you with a clear understanding of the situation, potential causes, and the best course of action to take.

If you have any more questions, feel free to reach out to me at chopraplasticsurgery.com

Avoid being punched by any means.

The knot you have after being punched on the cheeck with resulting black and blue eyes indicate that you mat have a hematoma (collection of blood). You need to see a plastic surgeon, and need to evaluate the integrety of the cheek bon and eye.

Your left cheek "knot" probably resulted from internal bleeding into your surrounding soft tissues leaving you with local induration.  You also may have a facial fracture(s).  Consult an experienced Facial Plastic & Cosmetic Surgeon immediately for full evaluation.