What procedure would help treat the upper lip scar from a dog bite? Doctor has recommended Fraxel Laser. (photos)

The gold
standard for hypertrophic (thickened, raised, and red &/or darkly pigmented)
scar therapy is pressure and time - occasionally a year or more. If this
fails then scar revision surgery may be considered. Although the results of scar therapy vary from person
to person and scar to scar, the results are typically permanent. Not infrequently
potential patients avoid surgery because fear of an unsightly scar. To remedy
this, I now utilize and formulate compounded topical creams to treat, relieve
and minimize scars for each of my patients:• new scars• old scars• surgical scars• keloid scars• stretch marks• hypertrophic scars• hyperpigmented (dark)
scars• various acne scars, and
more...These scar removal creams
contain prescription strength medications each individually known to reduce
and/or reverse the scarring process but never before compounded together into
one high potency formulation. These medications are added to a base of
anhydrous silicone (the most common ingredient in everyday topical scar
therapy) and Pracaxi oil, found in the Amazon rainforest and known for its
anti-inflammatory, antioxidant, antibacterial, and antifungal properties. Many
health insurance plans actually cover the cost of the creams and they can be delivered
directly to the patients door step. In other words, no need for multiple trips
to the doctor for expensive and painful laser treatments, or wasted money on
minimally effective over-the-counter topical scar therapy gels or silicone
sheets that are unsightly and/or fail to stay on. Instead, with just two
applications a day my patients now perform scar therapy in the comfort of their
own home. Glad to help.

The best way to address this scar is with a combination of Vbeam and Fraxel lasers. I would also start a regimen of kenalog and 5FU injections  to reduce the raised portion of the scar. The sooner you get started, the better the results will be. You will need multiple treatments. I hope you feel better soon!Dr. Groff

In my experience the optimal outcome in the
treatment of scars comes from a combination of therapies.The Fraxel laser is a good
recommendation.Combining the Fraxel
with other laser modalities to target redness, and with injections and possibly
creams to help soften the scar will give the best result.

The scar on your upper lip can generally be helped with a combination of treatments.  You may benefit from a combination of V-Beam, Fraxel, and intralesional kenalog injections to flatten the scar.  For the best results please consult a board certified dermatologist with a great deal of experience with scars and lasers.