How can I remove my scar under my bottom lip? (Photo)

Thank you for sharing your story and photo. Scars in the area under the bottom lip can be especially challenging, particularly when they have both atrophic (depressed) and hypertrophic (raised) features. It’s understandable to feel frustrated after multiple treatments.

While complete removal of a scar is rarely possible, there are several advanced options that can help improve both the texture and appearance of mixed scars:

1. Fractional Laser Resurfacing:
Fractional lasers (such as CO₂ or Er:YAG) can help smooth out both raised and depressed areas, improve texture, and blend the scar with the surrounding skin. Multiple sessions are often needed for best results.

2. Microneedling (with or without PRP):
Microneedling stimulates collagen production and can be particularly helpful for atrophic (depressed) scars. Combining microneedling with platelet-rich plasma (PRP) may enhance the outcome.

3. Subcision:
This minor procedure releases the scar tissue tethering the skin, which can help elevate depressed scars and improve contour.

4. Filler Injections:
Hyaluronic acid fillers can be used to temporarily lift atrophic scars, making them less noticeable.

5. Surgical Scar Revision:
In select cases, a surgical approach to revise the scar can create a finer, less visible result.

6. Ongoing Silicone Therapy:
Silicone gels or sheets can continue to help soften and flatten any raised (hypertrophic) areas.

7. Additional Steroid Injections:
While you’ve already tried corticosteroid injections, these are most effective for raised scars. Sometimes, combining them with other treatments can yield better results.


A combination approach is often most effective for mixed scars. Consulting with a dermatologist or plastic surgeon who has experience in complex scar management can help tailor a treatment plan to your specific needs and goals.

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

You will improve substantially with a number of small office treatments. These will include dermabrasion, microneedling, and possibly scar revisions.