Lip Laceration Repair

Before and After

 

This patient is 5 weeks out from closure of a dog bite she sustained.  Notice in the before photo how the laceration went through the cosmetically important vermillion border (the area where the lip transitions from the red to the white lip).  In the after photos the wound is still pink, as to be expected, a little over one month out, but you notice that the vermillion border of the lip has a smooth line both at rest (middle) and with motion (right).  This patient is fortunate in that the laceration is in the same orientation as the natural lines that develop around the mouth.  With time, this laceration will be almost imperceptible.  It is also important with any laceration to avoid sun exposure until the wound is no longer pink to prevent permanent tanning.