Lip scar tissue - What can i do? Is plastic surgery necessary? (photos)

Question

I had a small cut in my inner bottom lower lip, it took a while to heal. I would bite my lower lip before the cut fully healed and it left a small bump on my lip. Its more visible when i smile, i just want the bump gone for good. What can i do? Is plastic surgery necessary?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! For the bump, you can try a steroid injection to see if improvement can be made. Many times, this will permanently soften the scarring. If no improvement, then excision would be a good option. The oral mucosa tends to heal quite well if done correctly with suturing. I would seek evaluation with a facial plastic surgeon to evaluate the lesion more. Hope this helps!

Lip scar tissue - What can i do? Is plastic surgery necessary? (photos)

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