Question about bump on lip after vermillion advancement

Question

Hi! I had a vermillion advancement (technically I think it was called a modified upper lip lift) The incision was along the vermillion border of my lip. Anyways, I noticed this sort of discolored bump that is lighter than the rest of my lip in the very middle on the top. It is number than the rest of my lip. I was just wondering what this could be? The procedure was 2 months ago, but I am awaiting a follow up with my surgeon as his office is far from my house.

Anna Chacon, MD, FAAD · Answer

It's understandable to have concerns about changes in your lip following a vermillion advancement procedure. Here are some potential explanations for the discolored bump and numbness you are experiencing:

1. **Scar Tissue Formation:** After surgical procedures, it is common for scar tissue to form. This scar tissue can sometimes appear as a bump and may be lighter in color compared to the surrounding tissue. It may also feel numb if the nerve endings in the area are still healing.

2. **Granuloma:** Occasionally, a small nodule called a granuloma can form at the site of the incision. This is a benign inflammatory response to the surgery.

3. **Residual Swelling:** Even though it has been two months since your procedure, some residual swelling can persist, which may appear as a bump.

4. **Nerve Regeneration:** Numbness can occur if nerves were affected during the surgery. Nerve regeneration can take time, and the numbness may decrease gradually over several months.

5. **Infection or Cyst:** Although less likely, an infection or cyst could also present as a bump. Signs of infection would typically include redness, warmth, pain, and possibly drainage.

6. **Suture Reaction:** If non-absorbable sutures were used, or if there is a reaction to absorbable sutures, this could cause a bump at the incision site.

Given that you are awaiting a follow-up with your surgeon, it's important to discuss these symptoms with them when you have your appointment. In the meantime, monitor the area for any signs of infection (such as increased redness, warmth, or discharge) and contact your surgeon immediately if these occur.

If the bump changes in size, color, or becomes painful, or if you have any other concerning symptoms, consider reaching out to your surgeon's office for advice, even if it means traveling the distance. Your health and peace of mind are important.

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Question about bump on lip after vermillion advancement

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Everything you need to know about Lip Lift

Our mission is to create a world where every investment in modern beauty is Worth It.