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The removal of foreign bodies from the lips requires careful diagnosis and treatment by an experienced specialist, as the lips are sensitive tissue and any treatment can have aesthetic and functional effects. The method used to remove a foreign body depends on the type of foreign body, its location and the associated complications. Here is a detailed overview: Possible foreign bodies in the lips Foreign bodies in the lips can result from various causes, e.g.:
1. Misplaced fillers:
– Too much or poorly injected hyaluronic acid.
– Permanent fillers such as silicone or other non-absorbable substances.
2Capsule or nodule formation:
– The body’s reaction to injected materials.
3. Scar tissue:
– After injuries or previous aesthetic procedures.
4. Foreign bodies:
– Glass splinters, wood chips or other objects after an accident.

Diagnosis and preparation The removal of a foreign body begins with a thorough examination:
1. Medical history:
– The doctor will ask about the medical history:
– What substances were injected?
– When and where did the treatment take place?
– Were there any previous complications or complaints?
2Imaging:
– Ultrasound, X-ray or MRI may be used to determine the exact location and nature of the foreign body, especially for non-visible or non-palpable objects.
3. Examination:
– Visible or palpable nodules, swellings or indurations are localized precisely.

Options for removing foreign bodies from the lip 1. Dissolution of hyaluronic acid fillers with hyalase
– Indication: If the foreign body consists of excess or misplaced hyaluronic acid.
– Procedure:
– Injection of hyaluronidase (hyalase) to dissolve the hyaluronic acid in a targeted manner.
– The effect is fast (visible within hours).
– Advantages:
– Non-invasive, short downtime.
– Limitations:
– Only works with hyaluronic acid-based fillers, not with permanent fillers.

2. surgical removal
– Indication:
– For permanent fillers (e.g. silicone or biopolymers).
– For encapsulated foreign bodies or strong inflammatory reactions.
– Procedure:
– A surgical incision is made to remove the foreign body.
– This is often performed under local anesthesia.
– Advantages:
– Effective, especially for problematic foreign bodies.
– Disadvantages:
– Leaves small scars.
– Requires a recovery time of 1-2 weeks.

3. minimally invasive techniques (e.g. cannula method)
– Indication:
– For smaller foreign bodies or nodules that are easily accessible.
– Procedure:
– A cannula is inserted to aspirate or loosen the foreign body.
– Advantages:
– Less invasive than a surgical procedure.
– Limitations:
– Not suitable for larger or encapsulated foreign bodies.

4. laser treatment or radiofrequency
– Indication:
– For smaller, superficial foreign bodies or scar tissue.
– Procedure:
– The laser is used to remove or smooth tissue in a targeted manner.
– Advantages:
– Precise and gentle.
– Disadvantages:
– Not suitable for deep-seated foreign bodies.

5. drug treatment
– Indication:
– For inflammatory reactions or capsule formation.
– Procedure:
– Injection of corticosteroids to reduce inflammation and soothe the tissue.
– In some cases, antibiotics are administered if an infection is present.
– Benefits:
– Helps to alleviate the symptoms.
– Limitations:
– Does not remove the foreign body, but only reduces the symptoms.

Risks and complications of removal The removal of a foreign body is not risk-free. Possible complications are:
1. Scarring:
– Especially during surgical procedures.
2. Swelling and bruising:
– Common after minimally invasive or surgical treatments.
3. Infections:
– If performed improperly or with poor wound care.
4. Asymmetry:
– The shape of the lips may change as a result of the procedure. Aftercare and healing
– Cooling: Helps to reduce swelling and pain.
– Care of the wound: Careful wound care is crucial in surgical procedures to avoid infection.
– Regular check-ups: To ensure that healing is progressing optimally.
– Avoid pressure and manipulation: The treated lips should not be massaged or strained. When should a foreign body be removed?

Removal of a foreign body is necessary if:
– Complaints such as pain, inflammation or swelling occur.
– The aesthetic result is severely impaired.
– There is a risk of tissue damage (e.g. due to capsule formation or infection).
– Permanent fillers cause undesirable reactions.

Conclusion

The removal of a foreign body from the lip requires a precise diagnosis and individual planning. Hyaluronic acid fillers can be dissolved with hyalase, whereas permanent materials or encapsulated foreign bodies often need to be surgically removed. It is important to consult an experienced doctor or plastic surgeon who will recommend the best method for your situation.