are there possible options that may improve a scar I have on my upper lip. It is an old scar from a dog bite I recived when I was 4 years old. I am a 24 yr old female and I am quite frankly tired of people asking "what happened to your lip". I get a little insecure during face to face one on one conversations, because the lips are such a central area of focus and i find that many times my scar becomes distracting. even though it does not impact me functionally, internally i feel differently
Surgical or Non Surgical Options to Improve Upper Lip Scar on the Vermilion Border
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Doctor Answers 4
Vermillion Border Scar
Based on the photo provided, I would recommend an incisional scar revision procedure to realign the vermillion border; this may involve simple excision, a z plasty, or other scar interruption technique . The initial procedure may benefit from Dermabrasion (sanding down the skin) 6-8 weeks later.
Your posted photo shows a step off in the lip margin along the scar. The lip margin to your right of the scar is higher than the margin to your left of the scar creating the step off. Although you cannot erase the scar you could improve its look by realigning these lip margins. That involves cutting the scar, shifting the lift side upward and suturing the edges of the incision together.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
Surgical or non-surgical options to improve upper lip scar on the vermilion border?
With your scar several years prior, the appearance will likely not improve. The vermilion border is one surgical landmark tat must be perfectly repaired, or the deformity is readily apparent at conversational distance. A scar revision will certainly serve well to realign the vermilion border. I think that nothing less than a surgical scar revision will improve the appearance at this point.
If unsightly scars are still present after approximately a year's time, other things that your surgeon may consider are intralesional steroid injections, laser, or just surgical revision of the scar itself.
Hope that this helps! Best wishes!
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