Because the upper lip area is relatively convex, suturing (as compared with allowing the wound to heal on its own) is typically performed. Allowing the wound heal on its own is an acceptable approach in concave areas if the defect is shallow and does not have sharp edges. Having said that, small defects such as this can heal very nicely without stitching. The wound noted in the later postoperative photograph is dry which can hinder the optimal cosmetic outcome. Ideally, it is kept moist until it is fully healed.If the cosmetic outcome is suboptimal, a minor scar revision with the major arm of the scar oriented in the vertical direction, parallel to skin tension lines is recommended.* This patient has not been seen in a formal clinical capacity; the above advice is not a substitute for an in-office physician consultation *Kenneth W. Alanen MD,Dermatology FRCPC Fellow, American Society of Dermatologic Surgery, Mohs' Micrographic SurgeryDermatopathology ABD / ABP, Fellow ASDPPathology FRCPC