Lip lift atrophic structured scar - do I need surgical revision or laser treatment? (photos)

Question

Hello, Ive had lip lift 8months ago. Overall im satisfied because it helped with face feminisation (im trans mtf). My concern is a scar that have remained. In first month it looked like a subtle thin line under my nose, but then the inner sutures started to emerge from under the skin, causing the scar to go real bad. I have structured athropic scar thats way thicker than i expected and very visible when i make facial expressions. I did 1 session of CO2 laser, but im considering a revision.

Jason Emer, MD · Answer

It's difficult to determine the best solution for you without the benefit of a formal evaluation. Generally speaking, scars can be improved with a combination of surgery and/or lasers and microneedling with PRP. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. 
Options can include:
1. Vascular lasers (BBL, Yellow laser, V-Beam, Excel V) 
2. Fractional lasers (Fraxel, Erbium, CO2, Halo) 
3. Microneedling/PRP 
4. Silicone-based scar gels with growth factors 
5. Excision/revision surgery 
See an expert to develop a treatment plan that works for you. Best, Dr. Emer​

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