Should I get my lip lift revised again (had 1 revision as doctor thought scar too thick after original lip lift)? (Photo)

Question

I have a hypertrophic scar when after the first surgery the scar was thick but not raised. I had my first lip lift done in Sep 2021 and my last lip lift done Oct 2002. The first scar healed white and my scar now is still red. Ive recently had two rounds of PDL laser done and have not noticed any improvement. I have 2 keloids on my left ear from piercings gone wrong so I'm not sure if my body responds to these wounds by overproducing something in mybody? I have other scars that healed well

Jacob Tower, MD · Answer

Hello, hope you are well. Thank you for the question and photo. You have hypertrophic scarring at the alar base (nose-lip junction). Before committing to further scar revision, I would suggest scar modulation to improve the quality of the scar and surrounding skin. In addition to using an evidence-based cream or gel (e.g. silicone gel), you can try a series of kenalog (steroid) injections. Fractionated laser may also help. It may require a small excision and revision if those therapies are insufficient, but usually worth a minimally invasive approach first. 
Best, Dr. Tower

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Should I get my lip lift revised again (had 1 revision as doctor thought scar too thick after original lip lift)? (Photo)

Answers (2)

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Everything you need to know about Lip Lift

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Should I get my lip lift revised again (had 1 revision as doctor thought scar too thick after original lip lift)? (Photo)

Answers (2)

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Everything you need to know about Lip Lift

Our mission is to create a world where every investment in modern beauty is Worth It.