Facial Growths: When to Seek ENT Specialist Help

Excess facial fat?

Hello, Doctor: I suddenly developed a painless growth on the surface of my face.
It is not very noticeable and does not hurt; it just feels like an extra piece of flesh on my face when I touch it.
Previously, it appeared on my left cheek below my left eye, and this time it has developed on the left side of my philtrum.
Although the last one disappeared mysteriously, I would like to ask what this symptom might be and where I should seek medical attention.

Wang Jianbao, 20~29 year old female. Ask Date: 2015/11/08

Dr. Zheng Jueyi reply Otolaryngology

Hello, if it disappears in a few days, it may not be a concern.
However, if you are worried, you can visit a general clinic for evaluation.
If a referral is necessary, the physician will recommend an appropriate specialist based on the location or symptoms.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/11/08

More Info

When it comes to facial growths, particularly those that appear suddenly and are painless, it’s essential to approach the situation with caution and awareness. While many facial growths can be benign, such as lipomas (fatty tumors), seborrheic keratosis, or even warts, there are instances where they may warrant further investigation to rule out more serious conditions.

Given your description of a painless growth that has appeared on your face, it’s advisable to consult with an Ear, Nose, and Throat (ENT) specialist or a dermatologist. These specialists are well-equipped to evaluate skin lesions and can provide a thorough examination. They may perform a physical examination and, if necessary, a biopsy to determine the nature of the growth.

When to Seek Help
1. Duration and Changes: If the growth has been present for more than a few weeks, or if it changes in size, shape, or color, it’s time to seek medical advice. Growths that change can sometimes indicate a need for further evaluation.

2. Associated Symptoms: Although you mentioned that the growth is painless, if you start experiencing other symptoms such as itching, bleeding, or discharge, it’s crucial to consult a healthcare provider promptly.

3. Location: Growths on the face, especially near sensitive areas like the eyes or mouth, should be evaluated to ensure they do not interfere with function or aesthetics.

4. Family History: If there is a family history of skin cancer or other skin conditions, it’s wise to be proactive and seek an evaluation.

Possible Conditions
- Seborrheic Keratosis: These are common, non-cancerous growths that often appear as brown, black, or light tan spots. They can vary in size and texture and are usually harmless.

- Lipoma: A lipoma is a benign tumor made of fat tissue. They are soft to the touch, movable, and generally painless.

- Warts: Caused by the human papillomavirus (HPV), warts can appear anywhere on the body, including the face. They are usually harmless but can be bothersome.

- Basal Cell Carcinoma: While less common, any new growth that persists should be evaluated to rule out skin cancer, particularly in individuals with risk factors such as fair skin, a history of sun exposure, or family history of skin cancer.

Next Steps
1. Schedule an Appointment: Contact an ENT specialist or dermatologist to schedule an appointment. They will likely perform a visual examination and may recommend imaging or a biopsy if necessary.

2. Document Changes: Keep a record of any changes in the growth, including when it appeared, any changes in size or color, and any associated symptoms. This information can be helpful for your healthcare provider.

3. Avoid Self-Diagnosis: While it’s tempting to search online for answers, self-diagnosing can lead to unnecessary anxiety. It’s best to rely on professional evaluation.

In conclusion, while many facial growths are benign and may resolve on their own, it’s essential to monitor any changes and consult a specialist if you have concerns. Early evaluation can provide peace of mind and ensure that any necessary treatment is initiated promptly. Your health and well-being are paramount, and seeking professional advice is always a prudent step when it comes to changes in your body.

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