I have a hard lump on the inside of my lower lip after an injury and oral surgery. Could this be a hypertrophic scar?

Question

In my sleep I bit the inside of my lower lip right side. Lip was swollen and after 3 weeks I went to the dentist. Dentist One performed oral surgery with a laser to remove. Healed rapidly and now I have a lump on one side where the incision was. Small raise above skin but deeper when you feel outside and inside mouth together.Dr. Two oral surgeon does not know what it is but believes it is not cancer. No pain and I do not want more surgery. Skin dr says no sign of cancer but did not test tissue.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Michael I. Echavez, MD · Answer

It would be unusual for a hypertrophic scar to develop on the inside of the lip or mouth, but it is possible that the lump you have could be scar tissue.  You would really need to be examined to give you the best advice.

Jason Emer, MD · Answer

Id suggest posting a picture, it is pretty difficult for us to give advice on what is occuring if we cannot see.  Best, Dr. Emer.

I have a hard lump on the inside of my lower lip after an injury and oral surgery. Could this be a hypertrophic scar?

Answers (3)