Treatment of a Swollen or Fat Lip
For a swollen lip, apply cold compresses immediately for 15-20 minutes and use white soft paraffin ointment every 2 hours throughout the healing process. 1
Initial Management
First 24-48 Hours
- Apply cold compresses to the affected area for 15-20 minutes at a time to reduce swelling and pain
- Lubricate lips with white soft paraffin ointment (petroleum jelly) every 2 hours 1
- Take over-the-counter pain relievers if needed (acetaminophen or ibuprofen)
- Avoid further trauma to the lip by eating soft foods and avoiding spicy or acidic foods
Topical Treatment Options
- Apply antibiotic ointment such as Neosporin or Bacitracin 1-3 times daily if there is a cut or abrasion 2, 3
- Keep the area clean by gently rinsing with warm water or saline solution
- Avoid picking at any scabs that may form
Management Based on Cause
For Traumatic Swelling
- Follow the initial management steps above
- If the swelling is severe or doesn't improve within 48 hours, seek medical attention
- For significant lacerations, medical evaluation may be needed to determine if sutures are required 4
For Allergic Reactions
- If the swollen lip is due to an allergic reaction and is accompanied by difficulty breathing, facial swelling, or hives, seek emergency medical attention immediately
- For mild allergic reactions, an antihistamine may help reduce swelling 1
For Infection-Related Swelling
- If the lip appears infected (increased redness, warmth, pus, or fever), consult a healthcare provider
- Topical antiseptic oral rinses may be beneficial if infection is suspected 1
Special Considerations
For Ulcerated Lips
- If ulceration has occurred, consider using a mucoprotectant mouthwash three times daily 1
- For painful ulcers, an anti-inflammatory oral rinse containing benzydamine hydrochloride can be used every 3 hours, particularly before eating 1
For Severe Cases
- If swelling is severe, persistent (beyond 3-5 days), or accompanied by significant pain, fever, or difficulty breathing, seek immediate medical attention
- For children under 2 years of age with lip injuries, consult a doctor before applying topical treatments 3
Prevention of Future Injuries
- Use lip balm with sunscreen to prevent sun-related damage
- Stay hydrated to prevent lip dryness and cracking
- Be cautious during physical activities to avoid facial injuries
- For those prone to cold sores, early intervention with antiviral medication at first signs can prevent full development 5
Remember that most minor lip swelling will resolve within a few days with proper care. However, persistent or worsening symptoms should prompt medical evaluation.