Do the muscles in the mouth grow back? Will the shape of my mouth return to normal? Do I need plastic surgery? (photos)

Question

I had a dog bite to my upper right lip. I am now one month after surgery and I am worried about the disfiguration of my mouth and asymmetrical upper lip.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. 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 decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

You will need a reconstructive surgeon to repair your wound and then a dermatologist trained in lasers to improve the scars.  Please see an expert.  Best, Dr. Emer.

Stephen Weber MD, FACS · Answer

You will likely see significant improvement with time. However, laser resurfacing of your lip scar will improve the texture and appearance of the scar. This can begin 6 weeks after your injury. It is possible that you could require a scar revision procedure as well but I typically wait 6-12 months before considering this type of procedure. Exercise and scar massage are also very helpful in the meantime and can prevent scar contracture. Best. Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Do the muscles in the mouth grow back? Will the shape of my mouth return to normal? Do I need plastic surgery? (photos)

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Do the muscles in the mouth grow back? Will the shape of my mouth return to normal? Do I need plastic surgery? (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.