Lip lift long term scar control - adhesive & microneedling advise

Question

I understand that lip lift scars can inevitably stretch and become a wider indentation at the 8 month mark or so. I know about the CO2 recommendation and the-like. Two questions: Would including microneedling make that even wider or would it “blend”/plump the indentation? Would keeping Octyl-2-cyanoacrylate adhesive on it whenever possible - especially at month 7 to 9 - help prevent that indentation/stretching?

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Gary M. Horndeski, MD · Answer

Th best way to do a lip lift to minimize a long term scar is to use PDS sutures in the dermal plane.  These sutures last about 6 months and minimize the scarring.  What also helps with minimizing the scar is having the scar lie at the nose-lip junction and inside the nostril in the columella crease.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

In most patients, a lip lift scar is well hidden underneath the nose, making it very difficult to see. We do not regularly suggest any treatment, but microneedling and laser may be valuable options if needed. Good luck.

Lip lift long term scar control - adhesive & microneedling advise

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Everything you need to know about Lip Lift

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Lip lift long term scar control - adhesive & microneedling advise

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Everything you need to know about Lip Lift

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