42, what do you suggest for Fordyce spot scar on upper lip I've had since I was a child? (Photos)

Question

I’ve had this scar-thing on my upper lip since I was a child. I’m 42 now. I’m not sure what it is, I think it’s a fordyce spot that’s been inflamed and grown and eventually just settled as scar tissue. I want to get rid of it. What do you suggest I do? Would this need to be surgically cut or lasered?

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Nelson Lee Novick, MD · Answer

At least from the photos provided, the issue here appears to be most consistent with Fordyce spots, which, by themselves, do not require any treatment. However, for those desiring treatment for cosmetic reasons, light electrodessication, performed using a tiny amount of local anesthetic is a quick, inexpensive method for flattening the bumps that has stood the test of decades of time for safety and effectiveness, which cannot be said for so many of the expensive, "smoke and mirrors" fraxel laser and RF treatments that will no doubt be hawked to you in your research on Drs. Instagram, TikTok.  So, be sure to exercise a healthy amount of "Buyer Beware" when being presented with these alternatives.
Hope this helps and best of luck.

Anna Chacon, MD, FAAD · Answer

Fordyce spots are generally benign, but the scar tissue you've described on your upper lip may require a specific treatment approach to reduce its appearance or remove it entirely. Here are some steps you can consider:

1. **Consultation with a Dermatologist**:
   - The first step should be to consult with a dermatologist. They can accurately diagnose the nature of the scar and confirm if it is indeed related to a Fordyce spot or something else.

2. **Treatment Options**:
   - **Topical Treatments**: Sometimes, dermatologists might recommend topical treatments to improve the appearance of scars, such as retinoids or other scar-reducing agents. However, these are more effective for newer scars.
   - **Laser Therapy**: Laser treatments, such as CO2 laser or pulse dye laser, can be effective in reducing the appearance of scar tissue and improving skin texture. Lasers can target the scar tissue and promote collagen remodeling.
   - **Surgical Excision**: If the scar tissue is prominent and causing significant cosmetic concern, surgical excision might be an option. This involves removing the scar tissue and then suturing the area to heal more smoothly.
   - **Microneedling**: This procedure uses fine needles to create micro-injuries in the skin, stimulating collagen production and improving the appearance of scars over time.
   - **Chemical Peels**: Depending on the depth and nature of the scar, chemical peels might be used to exfoliate the top layers of skin, promoting new skin growth and improving texture.

3. **Considerations**:
   - **Healing Time**: Each treatment has a different healing time and potential side effects. Discuss these with your dermatologist to choose the best option for your lifestyle.
   - **Skin Type**: Your skin type and the location of the scar (on the lip) might influence the choice of treatment.
   - **Cosmetic Goals**: Clearly communicate your cosmetic goals with your dermatologist to ensure you both have the same expectations regarding the outcome.

4. **Follow-Up Care**:
   - After any procedure, follow the dermatologist's aftercare instructions carefully to ensure optimal healing and results.
   - Regular follow-up appointments may be necessary to monitor the progress and effectiveness of the treatment.

It's important to have a thorough discussion with a dermatologist who can tailor the treatment plan to your specific needs and provide the best options for effectively addressing the scar on your upper lip.

42, what do you suggest for Fordyce spot scar on upper lip I've had since I was a child? (Photos)

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42, what do you suggest for Fordyce spot scar on upper lip I've had since I was a child? (Photos)

Answers (3)

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Everything you need to know about Scar Removal

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