Persistent Blister Turned Flesh: Is Surgery an Option?

The blister has not healed and has instead turned into a fleshy growth?

This issue has been bothering me for a long time.
A while ago, I suddenly developed a blister.
At that time, my mother told me not to touch it and to let it burst on its own, which I obediently followed.
However, the blister did not go away; instead, it turned into a raised piece of flesh on my thumb.
As long as I don't touch it, there is no pain.
I thought it would eventually disappear, but many years have passed, and there are no signs of it going away.
Although it doesn't significantly affect me as long as I leave it alone, I find it very unsightly.
I have always been afraid to let others see this on my thumb.
I wonder if a doctor can tell me if this can be surgically removed?

Huihui, 10~19 year old female. Ask Date: 2021/07/30

Dr. Wu Yuxin reply Dermatology

No lesions were observed, making it difficult to determine the issue and how to address it.
If this is causing significant distress, please seek medical attention promptly.

Reply Date: 2021/07/30

More Info

It sounds like you have been dealing with a persistent blister that has transformed into a fleshy protrusion on your thumb. This condition can be quite distressing, especially if it affects your self-esteem or causes you to feel self-conscious about your appearance. Let’s break down your situation and explore the potential options for treatment, including surgery.

Firstly, it’s important to understand what you might be experiencing. A blister is typically a fluid-filled sac that forms on the skin due to friction, burns, or other types of skin irritation. When a blister does not heal properly, it can lead to the formation of scar tissue or a fibrous growth, which may appear as a fleshy bump. This could be a form of a callus, a keloid, or even a benign growth such as a dermatofibroma or a lipoma, depending on the characteristics of the bump.

Since you mentioned that the bump does not cause pain unless disturbed, it suggests that it may not be an acute issue. However, the fact that it has persisted for many years without resolution is a valid concern. While it may not be causing you pain, the cosmetic aspect is understandably troubling for you.

Regarding your question about surgery, yes, surgical removal is often an option for such growths, especially if they are bothersome or unsightly. Here are some considerations regarding surgical intervention:
1. Consultation with a Specialist: It is advisable to consult a dermatologist or a plastic surgeon who specializes in skin lesions. They can assess the growth, determine its nature, and discuss the best course of action. A physical examination and possibly imaging studies may be necessary to understand the structure of the growth better.

2. Surgical Procedure: If surgery is deemed appropriate, the procedure typically involves excising the growth under local anesthesia. The surgeon will remove the fleshy protrusion and may also take a small sample for biopsy to rule out any underlying issues. The procedure is usually outpatient, meaning you can go home the same day.

3. Recovery and Aftercare: Post-surgery, you may experience some swelling and discomfort, but this can usually be managed with over-the-counter pain relief. The recovery time can vary, but many patients return to normal activities within a few days. Proper wound care is essential to prevent infection and ensure optimal healing.

4. Potential Risks: As with any surgical procedure, there are risks involved, including infection, scarring, and the possibility of the growth returning. Discuss these risks with your surgeon to make an informed decision.

5. Alternative Treatments: If surgery is not an option you wish to pursue, there may be alternative treatments available, such as cryotherapy (freezing the growth) or laser therapy. These methods can sometimes reduce the size of the growth or improve its appearance without the need for traditional surgery.

In conclusion, while your fleshy protrusion may not be causing you pain, it is understandable that you would want to address its appearance. Surgical removal is a viable option, and consulting with a qualified healthcare provider will help you determine the best course of action tailored to your specific situation. Remember, it’s essential to prioritize your health and well-being, both physically and emotionally.

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