Bruises on the Lips: When to See a Dermatologist - Dermatology

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Bruising of the lips?


Hello, a few days ago I noticed a small bruise in the middle of my lower lip when I woke up.
It doesn't hurt and isn't tender, but it feels a bit swollen.
I thought I would wait a few days, but there are no signs of it going away.
I'm considering seeing a doctor but I'm not sure which department to visit.

Shi, 20~29 year old female. Ask Date: 2020/05/24

Dr. Wu Yuxin reply Dermatology


No lesions were observed, and it is not possible to determine the issue.
If you are very concerned, please seek medical attention promptly.

Reply Date: 2020/05/24

More Info


Bruises on the lips, especially when they appear suddenly and without any clear cause, can be concerning. In your case, the bruise on your lower lip that is not painful but feels slightly swollen warrants attention, particularly since it has not shown signs of improvement after a few days.
Bruises, or contusions, occur when small blood vessels under the skin break, leading to bleeding and discoloration. They can result from trauma, even minor ones that you may not remember, such as biting your lip or bumping it against something. However, if a bruise appears without any known injury, it could indicate underlying issues that may require further investigation.

In terms of when to see a dermatologist, here are some guidelines:
1. Duration: If the bruise does not start to fade after a week or two, it is advisable to consult a healthcare professional. Bruises typically change color and begin to heal within a few days.

2. Size and Shape: If the bruise is unusually large or has an irregular shape, it may be worth getting checked out. This could indicate a more significant injury or a bleeding disorder.

3. Associated Symptoms: If you experience additional symptoms such as increased swelling, pain, or if the area becomes warm or red, these could be signs of infection or other complications.

4. Recurrent Bruising: If you notice that you are getting bruises frequently without any apparent cause, it could be a sign of a medical condition that affects blood clotting or platelet function.

5. Location: Bruises on the lips or face can be more concerning than those on other parts of the body due to the potential for underlying issues or cosmetic concerns.

Given your situation, it would be appropriate to start by visiting a dermatologist, as they specialize in skin conditions and can assess the bruise on your lip. They may perform a physical examination and, if necessary, recommend further tests to rule out any underlying conditions.
In addition to seeing a dermatologist, you might also consider consulting a general practitioner if you have concerns about your overall health or if you suspect that the bruise could be related to a systemic issue.
In the meantime, here are some general tips for managing bruises:
- Ice the Area: Applying a cold compress can help reduce swelling and may alleviate discomfort.

- Avoid Irritation: Try not to irritate the area further by avoiding harsh products or excessive touching.

- Monitor Changes: Keep an eye on the bruise for any changes in color, size, or symptoms.

Lastly, if you have any history of bleeding disorders or if you are taking medications that affect blood clotting (such as anticoagulants), it is crucial to mention this to your healthcare provider, as it may influence their evaluation and management of your condition.

In summary, while a bruise on the lip can often be benign, it is essential to monitor it closely and seek medical advice if it does not improve or if you have any concerns. A dermatologist will be able to provide you with the best guidance and treatment options.

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