Accutane caused my lip to split. Can I get rid of the white scar in the middle of my lower lip? (Photo)

Question

My lower lip split in a middle while I was on accutane, and left a scar that looks like a deep and thin white line. Can I get rid of it? Not only colour wise but in terms of skin surface smoothening.

Anna Chacon, MD, FAAD · Answer

Hi,

Thank you for your message and for sharing your concern.

Can I get rid of the white scar on my lower lip from Accutane?
Yes, there are treatment options available that may help improve both the color and texture of the scar, although complete removal may not always be possible. Since Accutane can cause excessive dryness, lip splitting during treatment is not uncommon and may lead to atrophic or hypopigmented scars like the one you're describing.

Treatment Options:
Topical Treatments:
Silicone gel or sheets: Help flatten and soften the scar over time.

Hydrating ointments: Keep the scar tissue moisturized to prevent it from becoming more prominent.

Scar-lightening creams: Such as those containing niacinamide or azelaic acid may help reduce pigmentation differences.

Laser Therapy:
Fractional CO2 or erbium lasers can help resurface the skin and stimulate collagen production, improving both the texture and color.

Vascular lasers (e.g., pulsed dye laser) may help with any redness or pink tone if present.

Microneedling:
Promotes collagen production and can be effective in smoothing fine, linear scars like yours.

Chemical Peels or Light Dermabrasion:
Mild procedures may help reduce the appearance of superficial scars and improve skin tone uniformity.

Injectable Options:
In rare cases, very fine fillers may be used to even out depressions caused by scars, but this is not usually first-line for lip scars.

Thomas Spalla, MD · Answer

Consult with a local plastic surgeon and consider a small excision and repair of this area to restore the contour and match the color.

Other options could include lip filler to improve volume and contour and lip tinting to match the shade.

Accutane caused my lip to split. Can I get rid of the white scar in the middle of my lower lip? (Photo)

Answers (2)

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