Plastic surgery or fillers for this lip deformity post cyst removal?

Question

Lip has lost volume / has scarring from cyst removal. Also am having trouble drinking. Pictures are 1 week post-op. An ENT performed the surgery and I am seeing her in two days to discuss options. I am wondering which approach I should take, I am nervous about undergoing another surgery as this one turned out unexpectedly bad. I want my lips to look symetrical and still have volume. Leaning towards fillers at this time but I need a professional opinion. Thank You

Jonathan Kulbersh, MD · Answer

You are only 1 week after your procedure.  The area will conitnue to heal and change over the next few weeks and months.  I would not recommend doing anything until you talk with your ENT.  I would let it heal for a while before exploring other options.

Stephen Weber MD, FACS · Answer

At this point in time I would do nothing. Your surgeon can take a look in two days time to let you know how you are healing. It is very early and highly likely that much of the distortion of your lip is resulting from swelling and trauma to your lip. This will improve significantly with time and, if indicated, small injections into the scar tissue. I know it's very difficult try to be patient over the coming 8-10 weeks and you will likely be pleasantly surprised. Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Leonard T. Yu, MD · Answer

It is too early to accurately assess what deformity you will have as your lip is still swollen, this may take several months as healing is a process and you need to be patient.  You can create more problems if you jump to do things too quickly...stay in contact with your surgeon for advice.

R. Stephen Mulholland, MD (retired) · Answer

Dear Jeybre,

The pictures you sent show a
noticeable soft tissue swelling of the left lower lip.  It is very common following lip surgery and
removal of cysts of a persistent swelling asymmetries, particularly in the lip,
which is quite sensitive in vascular tissue.

The best advice would be to see
your operative surgeon to ensure there’s no complication with the cyst removal,
such as soft tissue infection or excessive swelling or hematoma. Generally, following cyst removal
surgery, patience and conservative observation of wound healing is the best
course of action.  Generally, over time,
the operative area will settle and resolve and not be apparent.  The rest of the lip can then be balanced and
volumized with soft tissue fillers, but I would not advise this prior to at
least three months following the operative procedure.

I trust this is of some
assistance.  Best of luck.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

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