Can An Upper Lip Advancement Cause Keloid Scarring?

Q: Dr. Eppley, I am a male patient considering lip augmentation. Given that I have identified I do not have the right shaped lip for a bullhorn lift, I am interested in the vermillion advancement procedure you have written about.

My only reservation is the risk of bad scarring, such as a keloid, forming at the edges (which presumably would be irreversible and completely ruin a persons lip). Could you please explain the likelihood of this risk please.

Many thanks!

A: I have never seen a lip keloid from an aesthetic procedure in any gender or ethnicity so that is not a real concern in my experience. Like all lip advancements there is always the risk of some scar visibility which may require a revision. Interestingly that risk is higher in women than men because of the presence of beard skin into which the vermilion edge is advanced.

Dr. Barry Eppley

World-Renowned Plastic Surgeon