The removal of a pyogenic granuloma on the lip focuses on preventing recurrence and minimizing scars. The best approach depends on the lesion’s size and location.
Surgical Excision is the most reliable for preventing recurrence, as “a doctor completely removes the lesion and its base.” Stitches may be needed, but this method offers the lowest chance of regrowth with proper aftercare.
Laser Therapy using CO₂ or pulsed-dye lasers is preferred for “minimal scarring.” It’s less invasive, controls bleeding, and helps preserve the lip’s appearance.
Cryotherapy involves “freezing with liquid nitrogen” and works well for smaller granulomas, though it may need several sessions. Scarring is usually mild.
Electrocautery, which “burns off the lesion and seals blood vessels,” can effectively prevent recurrence but may leave slight marks.
For small or recurring cases, topical or injection treatments such as Imiquimod, Timolol, or steroid shots can shrink or calm inflammation without surgery.
After treatment, preventing trauma, using scar-reducing creams like silicone or vitamin E, and maintaining sun protection are key. Regular follow-ups ensure proper healing and help detect any early signs of recurrence.