Lip Sutures: Healing Issues After an Injury

Issues with wound healing after lip suturing?

Hello, doctor.
I was in a car accident and sustained injuries both inside and outside my mouth.
At the time, I had stitches on the left side of my lower lip (stitched on April 30), and there were also stitches on the inside of my lower lip (in the same area) and on the gums in front of my lower jaw (also stitched on April 30).
The stitches on my lower lip were removed on May 6, and the stitches on the inside of my lip were removed on May 9.
A few days later, the wounds began to heal, but the left side of my lip is still swollen.
As of now, May 18, there is still swelling, and the entire inside of my lip has not gone down.
Will the swelling eventually subside, or will it remain like this?

An, 20~29 year old female. Ask Date: 2024/05/18

Dr. Li Zhonghuai reply Surgery

Hello! Could you please prescribe medication to promote swelling reduction? It would help reduce the swelling more quickly.
It's okay if I don't take it; it will naturally subside.
Take care! Changhua Hospital cares about you!

Reply Date: 2024/05/18

More Info

After sustaining injuries to your lips and gums from a car accident, it is understandable to be concerned about the healing process, especially since you have experienced persistent swelling even after the stitches were removed. The healing of lip sutures and the surrounding tissues can vary significantly from person to person, and several factors can influence the duration and extent of swelling.

Firstly, it is important to recognize that swelling is a normal part of the healing process. When tissues are injured, the body responds with inflammation, which can lead to swelling, redness, and tenderness in the affected area. This inflammatory response is essential for healing as it brings necessary nutrients and immune cells to the site of injury. However, the duration of swelling can depend on various factors, including the severity of the injury, the individual's healing capacity, and any underlying conditions.

In your case, since the stitches were removed on May 6th and May 9th, it is not uncommon for swelling to persist for a few weeks post-surgery. The fact that you are still experiencing swelling in your lower lip and the internal lip area as of May 18th suggests that the healing process is still ongoing. Generally, swelling should gradually decrease over time, but it can take several weeks to months for complete resolution, especially if the injury was significant.

To aid in the healing process and reduce swelling, consider the following recommendations:
1. Cold Compresses: Applying cold compresses to the swollen area can help reduce inflammation and provide relief. Make sure to wrap ice or a cold pack in a cloth to avoid direct contact with the skin, which can cause frostbite.

2. Elevation: Keeping your head elevated, especially while sleeping, can help reduce swelling by allowing fluids to drain away from the injured area.

3. Hydration and Nutrition: Staying well-hydrated and consuming a balanced diet rich in vitamins and minerals can support your body’s healing processes. Foods high in vitamin C, zinc, and protein can be particularly beneficial.

4. Avoiding Irritants: Try to avoid smoking, alcohol, and spicy or acidic foods that might irritate the healing tissues. These can exacerbate inflammation and prolong swelling.

5. Gentle Care: Be gentle when cleaning your mouth and avoid any vigorous movements that could stress the healing tissues. Follow your doctor's instructions regarding oral hygiene to prevent infection.

6. Follow-Up Care: If the swelling does not improve or worsens, or if you notice any signs of infection (such as increased redness, warmth, or discharge), it is crucial to follow up with your healthcare provider. They may need to evaluate the area to ensure there are no complications, such as an abscess or delayed healing.

In summary, while it is normal for swelling to persist for some time after lip injuries, it should gradually improve. If you have concerns about the healing process or if the swelling does not subside, it is advisable to consult your healthcare provider for further evaluation and management. They can provide tailored advice based on your specific situation and ensure that your recovery proceeds smoothly.

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