Vermilion border redness / swelling. What is the diagnosis and/or treatments (including surgical options)? (Photo)

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thanks for your question and posting pictures.  If these are new, it looks like an HSV outbreak.  Best of luck.

This is very usual. It is not rosacea, you do need to see a dermatologist (medial dermatology) for a diagnosis. Unusual reactions like granulomatous chelitis, sarcoid, granulomatous reactions etc... need to be excluded. Your dermatologist will guide you. All the best, Dr Davin Lim. Laser and aesthetic dermatologist, Brisbane. Australia.