Lip lift scar - what type is laser is the best? (Photo)

Question

Hello I had a liplift 5 months ago, I had dissolvable stitches which took a while to dissolve and I think this is why my scar looks like this. Is there anything I can do to improve it. Lasers? I’m using scar gel daily and silicone strips at night. I can cover it with makeup but I’m conscious of it when I go swimming or on holiday . What type of laser is the very best ? Thank you

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

You have already undergone an aggressive surgical procedure and are now experiencing this issue. So, before jumping to treatment with any of the numerous here-today-gone-tomorrow "bells and whistles laser and RF treatments, you may wish to explore treatments, such as intralesional anti-inflammatory injections to flatten any elevated portions of the scars and manual microneedling (no need for the added expense and risks of RF microneedling) accompanied by the application topical pigment enhancers, such as topical tyrosine and latanoprost, for better blending of the scars with the surrounding normal skin. Besides, unfortunately, the marketing hype and social media buzz surrounding the use of fraxel lasers and RF gizmos or this that and everything lags woefully behind the hype. You would be wise to consult with a board certified cosmetic dermatologist and best of luck.

Lip lift scar - what type is laser is the best? (Photo)

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Lip lift scar - what type is laser is the best? (Photo)

Answers (2)

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Our mission is to create a world where every investment in modern beauty is Worth It.