Upper Lip Lift Scar Treatment?

Question

Hello. I'll be two months post op in July. I started doing V-Beam right after the stitches were removed, so i've done two so far...doing them monthly until I don't know when yet. I use Kelocote every day & Wound-be-gone after lasering. I'm wondering if there are other options too? I'm not too concern about redness, bc I know it'll turn into a white line. My concern is that it's like a deep scratch like mark and when I smile, you can see it. I don't have keloid. Any other options, dermabrasia?

Raffy Karamanoukian, MD, FACS · Answer

Hidef protocols can help with visible lip lift scars on the face. I see a lot of these in my office in Beverly Hills. Surgery is often not needed if lasers and HIDEF scar revision techniques are introduced. 
In our office, we combine treatments starting with topical pre-conditioning of the scars with Plato's Scar Serum for hypertrophy and Melarase PM for pigmentation. Fractional RF, laser, and micro fractional RF can help limit scar growth. Kenalog IIT can also help reduce scar thickness. For lip lift scars specifically, I use selective Hyfrecation to reduce scarring. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jed H. Horowitz, MD, FACS · Answer

Good day! If you are concerned about the scars, there are available incision treatments as you heal to provide the best result possible. There are laser treatments, microneedling, and topical creams, to name a few. Find a board-certified plastic surgeon that has extensive experience with your case and discuss realistic goals and post operative options. Best of luck! #RealSelf100

Stephen Weber MD, FACS · Answer

I agree with my colleagues that it is impossible to advise you on how to proceed without photos. However, V beam treatments will help reduce redness while you're healing. Lip lift scars do tend to heal as a fine white line and are not often objectionable in appearance. It can take scars 6-12 months to fully mature. Time will likely result in significant improvement in the redness and visibility of the scar that concerns you. I hope this information is helpful.Stephen Weber MD, FACS

Vicki J. Levine, MD · Answer

From what I can see in the picture, the scar looks pretty good. At this point in time, just wait and see what happens. It takes almost a whole year for a scar to totally heal.

Barry L. Eppley, MD, DMD · Answer

Without seeing a picture of the scar (at rest and smiling) it is impossible to gauge the features of your upper lip scar. Knowing the features that make it noticeable can determine what, if anything, can be done to improve the scar. It is likely that the best treatment is going to be time. It is usually 4 to 6 months until the scar appearance significantly improves in my experience.

Upper Lip Lift Scar Treatment?

Answers (5)