title: Treating Scars of the Chin and Perioral Region.
abstract: Lip and chin scarring occurs owing to reconstruction of congenital, cancer resection, or traumatic defects. Knowledge of lip anatomy and function is critical to optimize results. Realistic expectations should be established before intervention. Scar revision and reconstruction is ideally performed with a subunit approach, placing scars along aesthetic borders and performing subunit reconstruction to camouflage scars. Surgical techniques include direct excision, scar reorientation, local flap rearrangement, pedicled flaps, and regional or free flaps. Resurfacing/adjunctive procedures play important roles in the treatment of scars. This article reviews the anatomy, patient assessment, and techniques used in scar revision of the perioral region.
authors.affiliation: Division of Otolaryngology-Head & Neck Surgery, Penn State Hershey Medical Center, 500 University Drive H091, Hershey, PA 17033, USA; Facial Plastic and Reconstructive Surgery, Penn State Hershey Medical Center, 500 University Drive H091, Hershey, PA 17033, USA.
authors.forename: Jessyka G
authors.initials: JG
authors.lastname: Lighthall
authors.affiliation: Facial Plastic and Reconstructive Surgery, Penn State Hershey Medical Center, 500 University Drive H091, Hershey, PA 17033, USA; Fedok Plastic Surgery, 113 East Fern Avenue, Foley, AL 36535, USA; Department of Surgery, USA Medical Center, The University of South Alabama, 2451 Fillingim Street, Mobile, AL 36617, USA. Electronic address: drfredfedok@me.com.
authors.forename: Fred G
authors.initials: FG
authors.lastname: Fedok
mesh_terms: D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D002680:Chin / Q000033:anatomy & histology / Q000502:physiology / Q000601:surgery; D002921:Cicatrix / Q000628:therapy*; D003131:Combined Modality Therapy; D003869:Dermabrasion; D000067548:Dermal Fillers / Q000627:therapeutic use; D006801:Humans; D053685:Laser Therapy; D008046:Lip / Q000033:anatomy & histology / Q000502:physiology / Q000601:surgery; D009465:Neuromuscular Agents / Q000627:therapeutic use; D019651:Plastic Surgery Procedures / Q000379:methods
chemical_list: D000067548:Dermal Fillers; D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A
keywords: Chin scar; Corticosteroid; Dermabrasion; Lip scar; Perioral scar; Reconstruction; Resurfacing; Scar revision