Post-Stitch Lip Bumps: What to Expect After Oral Surgery - Otolaryngology

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Is it normal to have small bumps on the lips after stitches are removed?


Hello Doctor, I was injured in a car accident and received six stitches on the surface of my lower lip (around February 7).
There are also stitches on the inside of my lower lip, approximately located opposite the lower gum.
I had the stitches removed on February 23.
Initially, there was swelling, and a few days later, I started to feel something under the skin in the area where the internal stitches are, as I licked the inside of my lower lip with my tongue.
After another day or two, I felt three lumps; the third lump is even slightly away from the stitched corner of my mouth (closer to the upper lip).
As of now, on March 6, the second lump seems to have grown larger, and the entire inside of my lip remains swollen.
I would like to know if these two issues are normal.
Will they eventually go away and the swelling subside, or will they remain like this? I apologize for bothering you; this is my first time experiencing such an injury, and I am really worried.

Li, 20~29 year old female. Ask Date: 2024/03/06

Dr. Zheng Jueyi reply Otolaryngology


Hello, it is common to encounter granulomas during wound healing.
If it continues to enlarge or symptoms do not improve, it is recommended to visit an otolaryngologist or oral surgeon for further evaluation.

Reply Date: 2024/03/06

More Info


After undergoing oral surgery, particularly one involving stitches on the lip, it is common to experience various post-operative symptoms, including swelling, bumps, and discomfort. These symptoms can be concerning, especially for someone who has never experienced such an injury before.
From your description, it seems that you had stitches on your lower lip due to an injury from a car accident, and after the stitches were removed, you began to notice bumps forming in the area where the stitches were placed. It is important to understand that the healing process can vary significantly from person to person, and several factors can influence this, including the extent of the injury, individual healing capacity, and post-operative care.


What to Expect After Oral Surgery
1. Swelling and Inflammation: It is normal for the area around the surgical site to remain swollen for some time after the stitches are removed. This swelling can persist for days or even weeks, depending on the individual. The body’s inflammatory response is a natural part of the healing process, and it can lead to temporary bumps or lumps in the affected area.

2. Formation of Scar Tissue: As the surgical site heals, scar tissue may form. This can sometimes feel like a lump under the skin. Scar tissue can take several months to mature and may change in size and texture over time.
3. Bumps or Nodules: The bumps you are feeling could be a combination of scar tissue and possibly some residual swelling. If they are firm and not painful, they are likely part of the normal healing process. However, if they become increasingly painful, red, or warm to the touch, this could indicate an infection or other complications.

4. Mucosal Healing: The inner lining of the lip may also take time to heal. The sensation of something being present (like a bump) could be related to the healing of the mucosal tissue.

What You Can Do
- Monitor Symptoms: Keep an eye on the bumps and any associated symptoms. If they do not improve over the next few weeks or if you notice any signs of infection (increased redness, warmth, discharge, or fever), it is crucial to consult your healthcare provider.

- Avoid Irritation: Try to avoid irritating the area with your tongue or by eating hard or abrasive foods that could aggravate the healing tissue.

- Follow-Up Appointments: It is advisable to schedule a follow-up appointment with your oral surgeon or dentist. They can assess the healing process and determine if any further intervention is needed. They may also provide reassurance regarding the normalcy of your symptoms.

- Pain Management: If you experience discomfort, over-the-counter pain relievers can help manage pain and inflammation. However, consult your doctor before taking any medication to ensure it is appropriate for your situation.


Conclusion
In summary, while it is common to experience swelling and bumps after oral surgery, especially in the area of the lip, it is essential to monitor your symptoms closely. The healing process can take time, and what you are experiencing may be a normal part of recovery. However, if you have any concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Your peace of mind and health are paramount, and professional advice can help clarify any uncertainties you may have.

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