The granulation at the vulvar incision will not fall off on its own, but as the incision heals over time, the granulation tissue may slowly lighten and flatten and not be as prominent.
This is because when the vulvar skin or mucosa is damaged as a result of a vulvar incision, localized fibrous connective tissue proliferates, and new granulation tissue appears, which in turn forms part of the original damaged growth repair. If the wound granulation grows much higher than the skin, making it difficult for the skin to climb, it will protrude from the surface of the skin.
This kind of granulation tissue will not fall off by itself, is a normal physiological reaction phenomenon, do not need to worry.
Normally, we should pay attention to the cleanliness and hygiene of the wound, do not touch or repeatedly digging the wound scab, stimulate the growth of granulation.