Aim: Subcutaneous hematoma can evolve into a dissecting hematoma causing skin ischemia and large necrotic areas, negatively impacting on patient's life quality. This study aims to evaluate if the use of an early treatment with compression therapy in patients with subcutaneous hematomas avoids infections and major complications. Method: 10 clinical cases of elderly patients (>80 years old) with hematomas were collected. Patients suffered traumas due to falls because of neurological disorders or sedentary habits. All patients were anticoagulated or had received corticosteroid treatments and suffered from skin alterations. The distal pulses were present in all patients and contraindications to compression therapy (peripheral arterial disease and decompensated heart failure) were excluded. Results / Discussion: Patients with leg hematomas have been treated from the beginning with multicomponent compressive bandage (long and short stretches), with changes at the beginning at 24-48 hours and then weekly cures. When the tissue was necrotic, the hematomas were debrided. In the presence of a wound, the local treatment included silver dressings in case of infection for 7 to 15 days and afterwards with a metalloproteases' modulators dressing. None of the wounds became infected after the compression treatment. Hematomas treated from the beginning with compression therapy, healed sooner (the median of healing was 3 weeks). Conclusion: Elderly people with hematomas in lower limbs who were treated immediately with multicomponent compressive therapy achieve a fast absorption of the hematoma and rapid wound healing, avoiding the evolution to a dissecting hematoma and improving patient's quality of life.