Is A Lip Scar Revision Worth It?
Q: Dr. Eppley, I am inquiring about lip scar revision for my child. She suffered a fall a year ago and had a laceration of the upper lip. It went on to heal but has done so with a noticeable bump on the lip. I would like an opinion if this could be fixed or do more harm than good if it got fixed..or create more internal scar tissue. Thank you.
A: The upper lip scar that your child has is extremely classic for lip lacerations through the vermilion. They often heal with a redundancy of vermilion scar that appears as a lump along the lip line. Such lip scars commonly undergo scar revision by a vertical elliptical excision of the scar and a smoothing out of the lip line. There is no question improvement can be obtained without the risk of doing more harm than good.
While a teenager or an adult would have a lip scar revision done in the office under local, that is not going to work in a five year-old. This would have to be done under anesthesia for patient comfort and anxiety as well as to obtain the best scar revision result and vermilion alignment.
Dr. Barry Eppley