Postoperative lip deviation?
Hello, doctor.
I had surgery a little over two months ago.
Besides some numbness in my lips and a hard lump at the surgical site, it seems that my lips still appear to be missing a piece due to the internal sutures, especially when I smile, as I cannot fully close my mouth.
I would like to know if the lip area will improve over time.
Additionally, the cysts are appearing more frequently than before the surgery and are somewhat more painful, although they are smaller in size.
Will this also improve with time?
Liao Xiaojie, 20~29 year old female. Ask Date: 2019/02/15
Dr. Zheng Jueyi reply Otolaryngology
Hello, the localized numbness and hardness you feel after surgery are normal postoperative phenomena and will usually improve over time.
As for the appearance of a small missing portion, it is due to the surgical removal of the problematic tumor or salivary gland located below the lip to prevent recurrence, which may result in a slight indentation compared to the original state; this is also a normal postoperative occurrence.
If you continue to experience recurrent issues with the salivary glands and there is no improvement, you may want to visit the ENT department or the rheumatology and immunology department at the hospital for further evaluation of any potential immune-related issues.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2019/02/15
More Info
After undergoing an ENT procedure, it is not uncommon to experience various post-surgical symptoms, including lip deformity, numbness, and the presence of hard lumps at the surgical site. Your concerns about the appearance of your lips and the growth of cysts are valid, and I will address them in detail.
1. Lip Deformity and Recovery: It is important to understand that the healing process for surgical sites, especially in delicate areas like the lips, can take time. The fact that you are experiencing a lack of symmetry, particularly when smiling, may be due to the way the sutures were placed. If the stitches were placed internally, they might have caused some pulling or tension on the surrounding tissue, leading to the appearance of a "missing corner" of your lip.
Generally, the initial healing phase can take several weeks to a few months. During this time, swelling may persist, and the tissue may feel firm or hard due to scar tissue formation. As the healing progresses, the appearance of the lip should improve, and the tightness may lessen. However, the timeline for recovery can vary significantly from person to person. It is advisable to follow up with your surgeon or a specialist in oral and maxillofacial surgery to assess the healing process and discuss potential interventions if the appearance does not improve over time.
2. Numbness and Hard Lumps: Numbness in the area surrounding the surgical site is also a common occurrence after surgery. This can be attributed to nerve irritation or damage during the procedure. In many cases, this numbness will gradually resolve as the nerves heal, but it can take several months. If the numbness persists beyond the expected healing period, it is important to consult your healthcare provider for further evaluation.
The hard lumps you are feeling could be a result of scar tissue or residual swelling. However, if you notice new cysts forming or if they are painful, this warrants further investigation. The increased frequency of cyst formation post-surgery could be due to several factors, including changes in the tissue environment or irritation from the surgical procedure itself. It is crucial to monitor these cysts and discuss them with your doctor, as they may require treatment or further evaluation to rule out any complications.
3. Long-term Outlook: As for the long-term outlook, many patients find that their surgical sites continue to improve in appearance and sensation over time. However, if you are concerned about the deformity or the cysts, it is essential to maintain open communication with your healthcare provider. They can provide guidance on whether additional treatments, such as physical therapy, steroid injections, or even revision surgery, may be necessary.
4. Emotional and Psychological Impact: It is also worth noting that post-surgical changes can have an emotional impact. If you find yourself feeling anxious or distressed about your appearance or the recovery process, consider speaking with a mental health professional. They can help you navigate these feelings and provide coping strategies.
In summary, while some degree of deformity and discomfort is expected after surgery, ongoing issues such as persistent numbness, hard lumps, or new cysts should be evaluated by your healthcare provider. Regular follow-ups will be crucial in ensuring that your recovery is on track and addressing any concerns you may have.
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