Reduce lip scar tissue and tension? (Photo)

Question

I busted my lip this pastOctober, creating a laceration on both the inside of my mouth and in the middle of my lower lip. I found 2 mucoceles and had those removed surgically in December. Now I’m left with scar tissue in the middle of my bottom lip, which I have been massaging since the surgery. The external laceration scar itself also seems to be creating tension that makes a small part of my lip “bubble” when smiling slightly. What can I do to improve the discoloration, tension, shape, any?

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Here are some suggestions to reduce the scar tissue and tension in your lip post-surgery:

1. Continue Massaging: Gentle massage can help to break up scar tissue and reduce tension. Use your fingers to apply gentle pressure and rub in small circles. Do this several times a day for a few minutes at a time.

2. Topical Treatments: Over-the-counter scar reduction creams, ointments, or gels can help lighten the scar. Look for products that contain silicone, vitamin E, or onion extract, which are known to help reduce discoloration and improve the appearance of scars.

3. Sun Protection: Protect the scar from the sun as UV rays can darken the scar and make it more noticeable. Use a lip balm with an SPF of at least 30 and wear a wide-brimmed hat when you're outside.

4. Hydration: Keeping your lips moisturized can also help improve the appearance of the scar. Use a hydrating lip balm or a product specifically designed for scar care.

5. Lip Exercises: Some simple lip exercises can help reduce tension and improve the shape of your lip. Try puckering your lips, smiling widely, and pulling your lips in tightly. Repeat these exercises several times a day.

6. Consult with a Dermatologist: If you're still not happy with the appearance of your lip, consider consulting with a dermatologist. They can offer more advanced treatments, like laser therapy or fillers, to reduce the appearance of scars.

7. Professional Scar Therapy: In some cases, physical therapists or occupational therapists who specialize in scar management can provide therapy to help with tension and scar appearance.

Remember, it's important to keep in mind that all scars take time to heal and may not completely disappear. Patience and consistent care can go a long way in improving the appearance and feel of your scar. However, always consult with your healthcare provider before starting any new treatments.

Nelson Lee Novick, MD · Answer

As with any scar anywhere on the body, scar collagen can be thick and therefore can lead to elevation, tension on surrounding tissue, and even tenderness. Intralesional injections of anti-inflammatory agents have been used for decades to shrink and flatten elevated scars and to decrease the itching and discomfort that not uncommonly can result from them. You would be wise to consult with a board certified cosmetic dermatologist scar treatment specialist and best of luck.

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