"Why Is There a Large Swelling or Lump on My Face?"

A large swollen area on the face resembling bumps may be caused by external force, urticarial papules, sebaceous cyst, erysipelas, or other factors. It is recommended to properly care for the affected area, administer antihistamines, and if necessary, undergo surgical treatment. Details are as follows:

1. External Force:

Local trauma, such as being hit, can cause tissue fluid accumulation, leading to swelling and bumps on the face. Apply cold compresses within 24 hours to alleviate pain and reduce extravasation; apply warm compresses after 24 hours to promote blood circulation and help reduce swelling.

2. Urticarial Papules:

Allergic reactions to insect bites, food, medication, or cosmetics can trigger urticarial papules, resulting in local redness and wheals. It is advised to discontinue contact with suspected allergens, remove oneself from the environment, and if necessary, take medications like loratadine, promethazine, or fexofenadine to alleviate symptoms.

3. Sebaceous Cyst:

Blockage of sebaceous ducts prevents secretion excretion, causing accumulation and formation of lumps, which may lead to local redness and pain. If symptoms are pronounced, prompt medical attention is necessary, and surgical removal may be required.

4. Erysipelas:

Caused by streptococcal infection, erysipelas results in local swelling, increased skin temperature, and pain. Diagnosis should be confirmed, and topical antibiotics such as polymyxin B sulfate-neomycin sulfate-bacitracin zinc ointment, fusidic acid ointment, or erythromycin ointment can be applied for anti-infective treatment.

Additionally, it is essential to consider whether the condition is related to acne, folliculitis, senile warts, lipomas, basal cell carcinoma, squamous cell carcinoma, or other factors. Accurate diagnosis and targeted treatment are recommended.