Scar on bottom lip - Can anything be done about this? (photos)

Question

About 13 years ago I was attacked with a razor blade. I immediately cleaned the wound with soap and water. However, I still landed in the ER with a bottom lip about 7x the original size. I was told with antibiotics,rest & proper cleaning it would go back to its normal size. A few years later a dermatologist confirmed it was scar tissue & referred me to a plastic surgeon. He did one steroid injection & said it would be fine. Well, it’s still there. Can anything be done about this?

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Connie Hiers, MD, FACS · Answer

The scar can be excised and reclosed. However, your lips will still heal with a scar and may be lighter in color.

Scar on bottom lip - Can anything be done about this? (photos)

Answers (2)

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