Lip Reduction Surgery: Concerns and Considerations

Q: Lip Reduction Surgery: Concerns and Considerations

Hello： The procedure for lip reduction generally involves making an incision inward along the wet-dry border of the lip, so the wound should be located inside the mouth. <br>If the lips are very thick, it may be necessary to make further adjustments to achieve a satisfactory resu

Lip reduction

Hello Doctor: I had a lip reduction surgery over two years ago, and I am not very satisfied with my lower lip.
The incision is not hidden inside the lip; one side has a faint visible line resembling a white suture.
The upper lip's incision is not very noticeable to the touch, but one side of the lower lip is not obvious while the other side feels firm and strange to the touch.
I would like to know if I need to undergo another surgery and whether it is necessary to use sutures.
What is the purpose of suturing? I would appreciate your clarification.
Thank you.

tede, 0~9 year old female. Ask Date: 2002/02/07

Dr. Lu Daokuan reply Plastic Surgery

Hello: The procedure for lip reduction generally involves making an incision inward along the wet-dry border of the lip, so the wound should be located inside the mouth.
If the lips are very thick, it may be necessary to make further adjustments to achieve a satisfactory result.
The so-called "white sutures" refer to the suture ends that are stitched into the muscle layer; if they remain hard for too long, they can be removed.
The principle of suturing in plastic surgery involves using 2-3 layers, and there are several options for absorbable sutures; it is not necessary to use gut sutures.
As for whether you should undergo another procedure, that needs to be evaluated.

Reply Date: 2002/02/07

More Info

Lip reduction surgery, also known as lip reduction or lip contouring, is a cosmetic procedure aimed at reducing the size of the lips, particularly for individuals who feel their lips are disproportionately large or prominent. While many patients seek this surgery for aesthetic reasons, it is essential to understand the concerns and considerations involved, especially if you are contemplating a revision surgery after a previous procedure.

Concerns and Considerations
1. Surgical Technique: The technique used in lip reduction can significantly impact the outcome. In your case, it seems that the initial surgery did not hide the incision well, leading to visible scarring. Surgeons typically aim to place incisions in less noticeable areas, such as inside the lip, to minimize visible scars. If the previous surgery left visible scars, discussing alternative techniques with your surgeon is crucial.

2. Scar Tissue: The presence of scar tissue can affect the texture and appearance of the lips post-surgery. You mentioned feeling a hard area on one side of your lower lip, which could indicate the formation of scar tissue. This is not uncommon after any surgical procedure. A revision surgery may involve addressing this scar tissue to improve the overall aesthetic and tactile quality of your lips.

3. Suture Material: You inquired about the necessity of using absorbable sutures (often referred to as "腸衣" in Mandarin, which translates to "intestinal cloth" or "gut suture"). These sutures are commonly used in lip surgeries because they are designed to dissolve over time, reducing the need for suture removal and minimizing the risk of visible scarring. The purpose of using such sutures is to promote healing while maintaining the integrity of the lip structure. If your previous surgery did not use absorbable sutures, it might have contributed to the visible scarring you are experiencing.

4. Consultation with a Qualified Surgeon: If you are considering a revision surgery, it is vital to consult with a qualified and experienced plastic surgeon who specializes in lip procedures. They can assess your current lip structure, discuss your concerns, and recommend the best approach for achieving your desired outcome. It may also be beneficial to seek a second opinion if you are unsure about the recommendations from your previous surgeon.

5. Realistic Expectations: It's essential to have realistic expectations regarding the results of lip reduction surgery. While many patients are satisfied with their outcomes, individual results can vary based on factors such as skin type, healing capacity, and the surgical technique employed. Discussing your goals and concerns openly with your surgeon can help align expectations with potential outcomes.

6. Post-Operative Care: After any surgical procedure, proper post-operative care is crucial for optimal healing and minimizing complications. Your surgeon will provide specific instructions regarding care, including managing swelling, avoiding certain activities, and when to follow up for assessment.

7. Psychological Considerations: Finally, consider the psychological aspects of undergoing cosmetic surgery. It's not uncommon for individuals to feel anxious about the results, especially after a previous unsatisfactory outcome. Engaging in discussions about your feelings and expectations with your surgeon can help alleviate concerns and ensure you are making an informed decision.

Conclusion
In summary, if you are considering a second lip reduction surgery, it is essential to address your concerns about scarring and the type of sutures used in the previous procedure. Consulting with a qualified surgeon who can evaluate your specific situation and provide tailored recommendations is crucial. They can help you understand the implications of the surgical techniques available and guide you toward achieving the desired aesthetic results while minimizing risks. Always prioritize open communication with your healthcare provider to ensure that your concerns are addressed and that you feel confident in your decision-making process.

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