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Can Punch Excision Surgery Be Used to Treat a Lip Piercing Scar?
asked 1 year ago by Washington DC3440 in Washington DC
Latest answer by Scott Trimas, MD
Question viewed 697 times
Tags: bottom lip, piercing, punch excision
I have a scar that looks like a hole in my middle lower lip from a lip piercing. The hole is right below the vermillion line. I was wondering if punch excision surgery would be a reasonable option for augmenting the appearance of the scar. I would rather have a small horizonal scar from a suture than a hole. And it seems like the scar left from the surgery would fade much better than the hole ever would.
4 answers to Can Punch Excision Surgery Be Used to Treat a Lip Piercing Scar?
+1
Lip piercing scar treatment
Lip scars from piercings can be effectively treated with a simple punch excision especially if they are not too big under local anesthesia and the end result is typically a small wrinkle. I hope this information helps.
Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
Jacksonville Facial Plastic Surgeon
+1
Scar Treatment: Common Questions
The main issue with your piercing scar is that it represents a tract that starts at the surface of your face and enters your oral cavity. For complete closure it would be best to have the entire tract removed so as to prevent the formation of a cyst. The exterior scar can be minimized, but it would be better if the tract was excised with precision and a tissue sparing approach (e.g. scalpel excision).
Best regards,
JMR
James M. Ridgway, MD
Seattle Facial Plastic Surgeon
Seattle Facial Plastic Surgeon
+1
Can Punch Excision Surgery Be Used to Treat a Lip Piercing Scar?
Yes but I recommend excision of the canal of skin from the piercing. From MIAMI Dr. Darryl J. Blinski
+1
Scar removal after Lip Piercing
Dear Washington DC3440, your idea of a punch excision is not bad and would likely close the skin side with a small scar.
However, your piercing had an opening between the skin and mouth called a fistula. If some of the lining from the mouth stays in the piercing site, you could develop a lump (cyst).
From repairing children with cleft lips and small cancers of the lip, we know that a vertical scar will likely fit into the puckering lines of your mouth...
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Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
Sacramento Facial Plastic Surgeon