Can Surgery Improve Lip Scars from Childhood Injuries?

Cleft lip scar

Hello Dr.
Lu, my daughter is 11 years old.
Last year during the Lunar New Year, she fell while riding a skateboard and accidentally bit her lip.
At that time, we didn't pay much attention to it, but now that the wound has healed, it has left a scar (along the lip line).
According to physiognomy, having a scar on a woman's lips is considered unfavorable.
I would like to know if it can be treated with surgical intervention.
Thank you for your response.

Li An, 30~39 year old female. Ask Date: 2004/10/31

Dr. Lu Daokuan reply Plastic Surgery

If the wound on the lip is in the red area, it should not be visible.
If the scar in the white area is smooth, it can be monitored; however, if it is not smooth, surgical correction may be considered.

Reply Date: 2004/10/31

More Info

Surgery can indeed be a viable option for improving lip scars resulting from childhood injuries, such as the one your daughter experienced. When considering surgical intervention, it is essential to evaluate the characteristics of the scar, including its location, texture, and how it aligns with the natural folds of the lip.
In your daughter's case, since the scar follows the natural lines of the lip, it may be less noticeable than if it were in a different area. However, if the scar is raised, discolored, or otherwise not aesthetically pleasing, surgical options can be explored. The primary goal of scar revision surgery is to improve the appearance of the scar and restore a more natural look.

There are several surgical techniques that can be employed to address lip scars. These include:
1. Scar Revision Surgery: This involves excising the scar tissue and carefully suturing the area to minimize the appearance of the scar. The surgeon will aim to place the incision along the natural lip lines to help conceal the scar.

2. Laser Therapy: This non-invasive option can help reduce the appearance of scars by resurfacing the skin and promoting collagen production. Laser treatments can be particularly effective for scars that are discolored or have an uneven texture.

3. Dermal Fillers: In some cases, fillers can be injected into the scarred area to help raise it to the level of the surrounding skin, making it less noticeable.

4. Microneedling: This technique involves using fine needles to create micro-injuries in the skin, stimulating the body’s healing process and promoting collagen production, which can improve the texture of the scar over time.

Before proceeding with any surgical intervention, it is crucial to consult with a qualified plastic surgeon or dermatologist who specializes in scar treatment. They will assess the scar's characteristics and discuss the best options tailored to your daughter's specific needs.
In addition to surgical options, there are also non-surgical treatments that can help improve the appearance of scars. These include silicone gel sheets, topical treatments, and pressure therapy. Silicone gel sheets, for instance, can help flatten and soften scars over time. It is generally recommended to start these treatments as soon as the wound has healed to maximize their effectiveness.

It's also important to manage expectations. While surgery and other treatments can significantly improve the appearance of scars, they may not completely eliminate them. The degree of improvement can vary based on individual skin types, the age of the scar, and the specific techniques used.

Lastly, regarding the cultural belief that scars on a woman's lips are undesirable, it's essential to focus on your daughter's self-esteem and body image. Encouraging her to embrace her uniqueness and providing support throughout the treatment process can help her feel more confident in her appearance.

In conclusion, surgical options are available to improve lip scars from childhood injuries, and a thorough consultation with a specialist will help determine the best course of action. With the right approach, it is possible to achieve a more aesthetically pleasing result and enhance your daughter's confidence.

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