I have this white Scar on my lower lip that makes me so self conscious I've had it for years. How do i get rid of it? (photo)

Question

I have this White Scar on my lower lip that makes me so self conscious I've had it for years. How do i get rid of it?

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Toby Mayer, MD · Answer

See a very experienced surgeon for a scar revision. You will always have a scar but I think it can be made much better.

Bryson G. Richards, MD · Answer

Thank you for the question and pictures.A scar excision can be performed in the office under local anesthetic. This should make the scar thin and barely noticeable.I hope this helps.

Michael I. Echavez, MD · Answer

White scars are very difficult to make darker.  It is sometimes possible to tattoo a white scar to make it darker, but I think a simple scar revision on your lower lip would be your best treatment option.  The white part would be removed so that it is no longer there.  This would be a procedure that could be done in the office.

Michael H. Gold, MD · Answer

So you have had 3 really nice answers by plastic surgeons on this subject. The first 2 questions are how long has it been there and what caused it? Is it in fact a scar or post-inflammatory hypopigmentation? You might try some of the topical immunomodualtors -- Elidel or Protopic -- to see if they can stimulate the pigment that might be dormant. Or you might try an excimer laser which can re-pigment hypopigmented scars or concerns. In fact, both the non-ablative and ablative fractional devices can re-pigment scars. So cutting a white scar causes another scar. I would try other things first to see if surgery is really needed. We have come a long way in this area -- so be careful, or you will have an even larger scar.

I have this white Scar on my lower lip that makes me so self conscious I've had it for years. How do i get rid of it? (photo)

Answers (5)

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