Persistent Bump on Upper Lip: Causes and When to See a Doctor - Dermatology

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There is a round bump in the middle of the upper lip?


I previously scraped my lip, and it swelled up.
After the swelling went down, there is a round bump in the middle of my upper lip.
It has been over four months, and it hasn't completely disappeared.
Is it possible for the lip to remain swollen for this long? What could be the issue? Which specialist should I see?

2013, 30~39 year old female. Ask Date: 2012/05/07

Dr. Wu Yuxin reply Dermatology


First, consult a dermatologist to determine the type of lesion before deciding on the next steps for treatment.

Reply Date: 2012/05/07

More Info


A persistent bump on the upper lip that has lasted for over four months can be concerning, especially if it developed after an injury like a scrape. There are several potential causes for this type of bump, and understanding them can help determine whether you should see a doctor and what kind of specialist to consult.

1. Scar Tissue Formation: After an injury, the body heals by forming scar tissue. If the bump is firm and does not change in size, it could simply be a scar that has formed as part of the healing process. Scars can sometimes remain raised or discolored for an extended period.

2. Keloids: Some individuals are prone to developing keloids, which are raised scars that extend beyond the original injury site. Keloids can be itchy or painful, but they are generally harmless. If the bump is larger than the original injury and continues to grow, it may be a keloid.

3. Cysts: Sebaceous cysts can form in the skin, including on the lips. These are usually benign and filled with a substance called sebum. They can remain for a long time and may require removal if they become bothersome or infected.

4. Infection: If the bump is tender, red, or warm to the touch, it could indicate an infection. Infections can sometimes develop after an injury, leading to the formation of an abscess or a persistent bump.

5. Mucoceles: These are fluid-filled cysts that can occur on the lips or inside the mouth, often resulting from trauma to the salivary glands. They can be painless and may persist for a long time.

6. Tumors: While less common, it’s essential to consider the possibility of benign or malignant tumors. If the bump has changed in appearance, size, or has associated symptoms like pain or bleeding, it’s crucial to seek medical advice.

Given that the bump has persisted for over four months without improvement, it is advisable to consult a healthcare professional. You should consider seeing a dermatologist, as they specialize in skin conditions and can provide a thorough examination. If the bump is suspected to be related to oral health, an oral surgeon or an ENT (ear, nose, and throat) specialist may also be appropriate.


When to See a Doctor:
- If the bump changes in size, color, or shape.

- If it becomes painful or shows signs of infection (redness, warmth, pus).

- If you experience any other symptoms, such as difficulty eating or speaking.

- If you have concerns about the nature of the bump, especially regarding the possibility of it being a tumor.


Conclusion:
In summary, while a bump on the lip can result from various benign causes, its persistence for several months warrants a professional evaluation. A dermatologist can provide a proper diagnosis and recommend treatment options if necessary. Early intervention can help address any underlying issues and alleviate concerns about potential complications.

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