Lip Lesion Excision/ Removal

What is Lip Lesion Excision/ Removal?

Lip lesion excision or removal is a specialised surgical procedure aimed at eradicating abnormal growths or marks from the lips. These lesions can be anything that deviates from the normal appearance of the lip tissue, ranging from benign lumps and bumps to potentially cancerous or precancerous changes. The process involves the careful removal of the lesion, along with a margin of healthy tissue around it, to ensure that all potentially harmful cells are eliminated.

This procedure is not only about removing the lesion but also involves analysing the removed tissue through a biopsy. This analysis is essential as it helps determine whether the lesion is benign or malignant, guiding the need for any further treatment. The primary aim here is to address any condition that might pose a risk to your health or cause discomfort, while also working towards restoring the natural appearance of your lips.

For many individuals, the decision to have lip lesion excision or removal can be motivated by a variety of factors. Some might seek relief from physical discomfort caused by the lesion, such as pain or irritation, especially when eating, talking, or engaging in other mouth-related movements. For others, the concern might be more aesthetic, seeking to remove a lesion that they find unsightly or that affects their smile and overall facial expression.

In every case, the procedure is tailored to the individual’s specific condition and needs. The type of lesion, its size, location, and the presence of any symptoms are all considered when planning the surgery.

Who Needs Lip Lesion Excision/ Removal?

Lip lesion excision or removal is recommended for individuals displaying noticeable, persistent, or otherwise concerning lesions on their lips. These lesions can vary widely in their nature and appearance, including but not limited to, cold sores, canker sores, lipomas (benign fatty growths), fibromas (benign fibrous tissue growths), and potentially malignant or cancerous growths such as squamous cell carcinoma.

Ideal candidates for this surgery are those in good overall health, who do not smoke or are willing to quit (as smoking can significantly hinder the healing process), and who have realistic expectations regarding the outcomes of the procedure. It is critical for potential candidates to understand that while lip lesion excision or removal can significantly improve the appearance of the lips and eliminate discomfort, the results depend on the nature of the lesion, the method of removal, and individual healing processes.

Additionally, people with lesions that have not responded to other treatments, or those that have changed in appearance over time, may be advised to undergo excision or removal as a preventative measure against potential malignancy.

The decision to proceed with lip lesion excision or removal should be made after a thorough consultation with Anca, who can assess the lesion and discuss the most appropriate treatment options. During this consultation, it’s important to discuss any concerns and ask questions about the procedure, recovery, and any potential risks. A detailed medical history and physical examination will also help determine if you are a suitable candidate for the procedure.

Benefits of the Lip Lesion Excision Procedure

One of the primary advantages is the removal of the lesion itself, which can alleviate any discomfort, irritation, or pain associated with its presence. This, in turn, can make daily activities such as eating, speaking, and smiling much more comfortable.

From a health perspective, excising or removing a lip lesion allows for a detailed examination of the tissue, which is critical in cases where the nature of the lesion is uncertain. By performing a biopsy on the removed tissue, specialists can determine whether the lesion is benign or malignant, guiding any necessary follow-up treatment. This diagnostic benefit is invaluable, particularly for lesions with the potential to become cancerous over time.

Aesthetically, the removal of unsightly lesions can significantly enhance one’s appearance and restore a more natural look to the lips. For many individuals, this improvement in appearance can lead to a boost in self-assurance and a more positive self-perception.

Moreover, in cases where the lesion is precancerous or malignant, its removal is a proactive step in preventing the development or spread of cancer. This can eliminate the need for more extensive treatments down the line, such as chemotherapy or radiation, which come with their own set of challenges and side effects.

How is the Lip Lesion Excision Procedure Performed?

The lip lesion excision or removal procedure is usually performed under local anaesthesia, ensuring you remain comfortable and pain-free throughout the process. Depending on the size and type of the lesion, as well as the chosen method of removal, the specifics of the procedure can vary. However, the general steps are as follows:

First, the area around the lesion is cleaned and sterilised. A local anaesthetic is then administered to numb the area, ensuring you do not feel any discomfort during the procedure. Depending on the technique being used, the lesion is carefully removed using the appropriate method (excision, shave, laser, or cryosurgery).

In cases where excision is chosen, Anca will make a precise cut to remove the lesion along with a margin of healthy tissue around it. This is to ensure that all potentially harmful cells are removed. The wound is then closed with stitches, if necessary, which helps to promote healing and minimise scarring.

The entire procedure usually takes less than an hour and is performed on an outpatient basis, meaning you can go home the same day. After the lesion is removed, it is often sent to a laboratory for histological analysis to determine its nature and ensure that the margins are clear of any abnormal cells.

When considering lip lesion excision or removal, it’s important to understand that there are several techniques available, each suited to different types of lesions. The choice of procedure largely depends on factors such as the lesion’s size, type, location, and whether it is benign or malignant. The most common types of lip lesion removal techniques are simple excision, shave excision, laser surgery and cryosurgery. 

The decision on which method to use will be made by Anca based on a detailed examination of your lesion and consideration of your overall health and personal preferences. Each method has its benefits and limitations, and understanding these can help you make an informed decision about your treatment.

Recovery after Lip Lesion Excision Procedure

The recovery process following a lip lesion excision or removal is an important phase that demands careful attention to ensure optimal healing and minimise potential complications. While the specifics of recovery can vary depending on the individual and the extent of the procedure, there are general guidelines and expectations you should be aware of:

• Immediate Post-Operative Care: Immediately following the procedure, it’s common to experience some swelling, bruising, and discomfort around the treated area. These symptoms are usually mild and can be effectively managed with over-the-counter pain relief medication, as advised by Anca. Applying ice packs in the first 24-48 hours can also help reduce swelling.
• Wound Care: Proper care of the surgical site is essential for healing. You may be given specific instructions on how to clean the area and how often to change any dressings. It’s important to keep the area clean and dry to prevent infection. If sutures are used, they may need to be removed by Anca after a week or two, depending on the type of sutures and how well the site is healing.
• Diet and Activity Restrictions: To avoid disturbing the surgical site, you may be advised to follow a soft food diet temporarily and avoid vigorous physical activity for a certain period. Smoking and alcohol consumption should also be avoided as they can impair the healing process.
• Follow-Up Visits: Attending follow-up appointments with Anca is essential for monitoring the healing process and removing sutures if necessary. These visits are also an opportunity to address any concerns or questions you may have about your recovery.
• Healing Time: The total healing time can vary, with most people able to resume their normal activities within a few days. However, complete healing of the site, including the resolution of any scarring, may take several weeks to months. It’s important to have realistic expectations and to give your body the time it needs to heal fully.

How Much Is Lip Lesion Excision in the UK?

In the UK, the cost for the excision of a lip lesion can vary significantly, depending on the healthcare setting and whether the procedure is conducted privately or through the NHS. For private treatment, prices generally range from £400 to £1,000. This cost usually includes the surgical removal of the lesion and the fee for the pathologist to examine the tissue to determine if further treatment is necessary. Factors that can affect the price include the complexity of the procedure, the type of anaesthesia used, and whether any reconstructive work is required post-removal.

Further Reading

• Read Anca’s Blog on Treatment Options for Lipoma and Other Swellings
• Read Anca’s Blog on How to Get Rid of Moles