Scar tissue removal on upper lip. What can I do? (Photo)

Question

When I was about 6 years old my upper lip became very uneven with this crease in the middle. I have always been very insecure about it. When I was 12 I had a lip tie cut because my dentist recommended it as a remedy for the lip. That of course did not help. I later had plastic surgery to cut part of the tissue off and it helped for a little while but returned a couple years later. My dad has a similar issue. What can I do? I would like to be able to smile confidently again.

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

Jason Emer, MD · Answer

Generally speaking, scars can be improved with a combination of surgery and/or lasers and microneedling with PRP. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. Best, Dr. Emer   1. Vascular lasers (BBL, Yellow laser, V-Beam, Excel V) 2. Fractional lasers (Fraxel, Erbium, CO2, Halo) 3. Microneedling/PRP 4. Silicone-based scar gels with growth factors 5. Excision / revision surgery   See an expert to develop a treatment plan that works for you. Best, Dr. Emer​

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question and photograph. It's difficult to evaluate you through this type of forum. I highly recommend you consult with a board certified plastic surgeon or dermatologist to have your lip evaluated and to discuss appropriate treatment options. Take care and good luck.

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