I recently had a fall. I have a deep cut from my nose to my lip which went right through at one point and it is jagged. I have had four stitches in it. It isn't healed yet. Is there anything i can do to help stop it scaring? It's at the stage where it has scabbed over. Thank you for any help. Rosemary.
Deep Cut Top of Lip After A Fall. How To Prevent Scarring?
Doctor Answers 3
Lip scars from the nose to the lip
If there is indentation or a depression in the scar, you will likely benefit from scar excision and layered closure. I perform many of these secondary procedures in my practice.
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Best Wound Healing
Several factors will influence wound healing. Some are within your control while others are not. The direction of the wound will make a difference. When we make a surgical scar we attempt to camouflage it by having the incision fall into a natural line of the face. When trauma is the cause that is not a choice. Having the incision closed using techniques of plastic surgery will insure the best wound. As far as wound care goes: Keep it moist, I like Aquaphor Ointment. Keep it covered. Clean it daily with a mild soap. Keep the sun off of the wound. Sun will lead to excessive pigmentation. Once the sutures are removed, massaging the wound with cocoa butter with vitamin E helps. I have not has much success with Mederma. If you notice that the wound is getting more firm as time goes on, see a board certified dermatologist or a plastic surgeon. This could be the sign of a hyper tropic scar or a keloid and steroid injections may be indicated.
The most important part in preventing a visible scar is that the cut is meticulously put back together. If it is not, you may want to consider having it revised with a facial specialist. Assuming it is reapproximated well (e.g. no step offs, puckered skin, etc), avoiding sun exposure will certainly help avoid any dark pigmentation. I recommend that my patients use a special topical ointment for the face to prevent visible scarring. Please note that the scarring will become less visible with time.