Thank you for your question about lip surgery.It is possible to use dermal grafts from your own body or with fat transfer from your own body.To be sure, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is...
It is a bit difficult to fully evaluate the scar on your lip from the photo that you provided, but a scar revision can frequently be done to improve an uneven upper lip scar.
Lip reconstruction surgery is performed under local anesthesia in an office setting. A plan would be developed based on your goals for your outcome. It is very common to experience swelling after any lip procedure.