How to treat a hemangioma growing inside the lip

Nov 07, 2025 Source: Cainiu Health

Dr. Wang Lei

Introduction

Hemangiomas inside the lips can be managed through close observation, local injection of medication, laser therapy, cryotherapy, or surgical excision. Due to their location within the oral cavity and susceptibility to irritation, treatment options with minimal mucosal damage should be prioritized. Prompt medical evaluation is recommended if the hemangioma ulcerates and bleeds, affects eating, or grows rapidly. For small lesions that are painless and do not interfere with eating, conservative management may be considered.

Hemangiomas inside the lips can be managed through close observation, local injection of medications, laser therapy, cryotherapy, or surgical excision. Due to their location in the oral cavity where they are easily irritated, treatment options that cause minimal damage to the mucosa should be prioritized. If the hemangioma ulcerates and bleeds, affects eating, or grows rapidly, prompt medical evaluation is recommended.

1. Close observation: For small hemangiomas that are painless and do not interfere with eating, regular monitoring of size and color changes may be sufficient. Some hemangiomas may regress spontaneously. Avoiding early intervention helps prevent unnecessary damage to the oral mucosa and minimizes disruption to daily diet.

2. Local medication injection: Under medical supervision, sclerosing agents or anti-angiogenic drugs are injected directly into the lesion to destroy abnormal blood vessels and reduce the size of the tumor. Maintaining good oral hygiene after injection is essential to prevent infection. This approach is suitable for hemangiomas of moderate size.

3. Laser therapy: Uses precisely targeted laser wavelengths to seal off abnormal blood vessels, leading to shrinkage of the lesion. This method causes minimal tissue damage, allows for quick recovery, and helps preserve lip appearance and function. It is ideal for superficial-type hemangiomas.

4. Cryotherapy: Utilizes extreme cold to induce necrosis and shedding of the hemangioma tissue. It is simple to perform, but the extent and depth of freezing must be carefully controlled to avoid damaging surrounding healthy mucosa. It is best suited for small, superficial hemangiomas on the inner lip.

5. Surgical excision: Reserved for large hemangiomas that impair swallowing or frequently ulcerate. Complete surgical removal of the lesion is performed, followed by careful wound care. Patients should avoid hard foods post-surgery to support mucosal healing.

In daily life, maintain good oral hygiene by rinsing the mouth with warm water after meals. Avoid biting or chewing directly on the affected area with teeth, and choose soft, easy-to-chew foods to minimize friction and irritation to the lesion, promoting stable recovery.

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