Will skin graft help to fix scars and make philtrum longer? (Photo)

Skin grafts on the face tend to be quite noticeable, and since your lip has a normal appearance and functions well, grafting may not be the best solution due to its poor aesthetic outcome. However, addressing the visible scar from the upper lip lift could be helpful. If there’s concern about shortening the upper lip further, not all the scar needs to be revised at once. On the side where the scar extends too far, a revision could hide it better within the nostril sill, breaking up the appearance of a continuous scar.

Another option to consider is avoiding scar revision altogether and instead exploring treatments like CO2 or Erbium laser resurfacing. This could create a more uniform skin texture and reduce the scar's visibility without further surgery. In either case, it’s important to consult a highly experienced surgeon who can take the time to carefully evaluate your situation and recommend the best approach for your needs.

Dr. B.

A skin graft will look very mechanical and be unattractive. You would be better off with a scar revision. The scar can be broken up by repositioning into the alar sill rather than directly below the nose. The middle section is reformed. It is unlikely that this will prevent you from closing the lips.

Best Wishes,

Gary Horndeski, M.D.