Freaked out brushing and flossing my teeth tore my lip augmentation stitches? (Photos)

Question

Hello I am very upset. I received a lip augmentation on my lower lip on Friday 7/28/17 with a 5 mm implant. I brushed and flossed my teeth the next day and noticed slight bleeding on the left side that stopped it wasn't much blood. I spoke to my surgeon who said I might of popped the stitch so I went to the er and the doctor there examined me and said they looked fine. If I did pop the stitch and need the implant removed how long till I could put it back in?

Elliot M. Heller, MD · Answer

You should start out with 1cc of juvederm filler or restylane filler and go from there. You do not want to overdo too much filler in the lips. It also depends on the look you are going for too. You can always add more filler to the lips if needed. Just remember if you are going to do your lips and you do not want to bruise you should not take any aspirins or anything that will thin the blood since brusing can occur. One syringe is typically $550.fill

Robert M. Tornambe, MD · Answer

Your photo does not show any signs of problem. The lips have a strong blood supply good healing.  One popped stitch should not be a problem, but try to see your surgeon ASAP.  Good luck!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Though your pictures offer limited views I do not see any areas of frank concern that would necessitate removal of the permalip implant.  I would try and relax and allow your results time to mature further.  Your physician likely placed you on antibiotics from the procedure and I would continue with these until complete.  Hope this helps.

Steven Wallach, MD · Answer

Only an exam in person would clarify whether or not you have a problem. You are best to see your surgeon for an evaluation in person.

Robert J. Troell, MD, FACS - Account Suspended · Answer

Good Day. 
I understand your concerns, however, you are most likely safe. Seeing your surgeon to ensure the implant is not exposed is strongly recommended. 
The photograph does not reveal implant exposure. If there is some exposure, you will most likely not have implant extrusion or infection by cleaning the wound, placing one suture and continuing oral antibiotics. The best antibiotic is Cleocin (clindamyacin) since it covers oral bacterial flora.
Since the lip has a huge blood supply, the lips heal rapidly and the rich blood supply minimizes the risk of infection.
If an infection develops despite oral antibiotics, I would recommend removing the implant, waiting 4-6 weeks and then reinsert. The advantages of soft silastic is easy in, easy out and easy in again, if need be. 
I have completed 140 silastic lip implants and have not seen any patient suffer an infection. A few had the absorbable suture fall out prior to the expected 7-12 days with no complication.
Iin summary, see your surgeon. He will examine you and determine if wound suturing, oral antibiotics or other treatment options required. I think you will have no problems. I hope this minimizes your anxiety.

Freaked out brushing and flossing my teeth tore my lip augmentation stitches? (Photos)

Answers (5)

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