Is it likely that a scar revision would help a lip scar that initially healed without stitches?

Question

Had a bad split lip,canine tooth went right through it and caused a gaping wound.The wound edges were never properly approximated,the blood clot that formed in between obviously was not a fine line.I don't know,maybe I just scar badly but from what i've read online deep gaping wounds that heal without sutures don't heal that well.The scar is a bit wide and lumpy,with the inner scar tissue making my lip look bloated.Consulted a PS that said Steroids wont help much as scar tissue is already soft.

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

Jason Emer, MD · Answer

This scar can be improved with a combination of surgery and/or lasers and microneedling/prp. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Michael Hakimi, MD · Answer

yes. Scar revision will improve the contour and remove the lump. You will have a thin scar but will not be as noticeable as your current scar.

Johnson C. Lee, MD · Answer

Thank you for your photos. The reason your lip has such a large lump is because the lip had to fill in the gap with scar to heal the lip. A lip scar revision can help remove the scar tissue and allow your normal lip tissue to be realigned and heal properly with minimal scar. You will look more swollen and lumpy for several weeks after the revision similar to having your initial wound except after a revision, once the swelling is gone and the scar softens, you should expect a more flat contour and less noticeable bump in that area. Hope this helps!
Johnson C. Lee, MD 
Board-Certified Plastic Surgeon

Stephen M. Davis, MD, FACS · Answer

Thanks fo writing,Lips as a general rule heal extremely well. The scar, when place correctly can almost disappear. Seek out a Board Certified Plastic Surgeon who does this work. You should do very well. If you smoke stop.Good LuckStephen M. Davis, MD, FACS
Certified: American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery
Member: American Society of Plastic Surgeons
Member: Realself Hall of fame

Kristine Brecht, MD (license suspended) · Answer

Lip scar revision, with excision of the old scar, is a very good option for an improvement.Choose an expert.Best. Dr Brecht Seattle, Wa

Is it likely that a scar revision would help a lip scar that initially healed without stitches?

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