Woodstock81 wrote:Hi Dr. Lam,
I have had lip implants, fat grafts and Aquamid injections and all of these procedures were done over the course of ten years. My lips have never felt right after the Aquamid injections. I know that the Aquamid has become part of my lip tissue. I had the Gortex implants removed because they were causing a lot of pain. I have been suffering off and on (more on) with chronic inflammation and internal lip scarring for the past six years. I received about 20 Kenalog injections over the past four years and ten injections of 5-fu both to try and break up scarring and to help with my chronic inflammation. My poor lips have been through so much and the chronic off and on inflammation is sometimes unbearable!! My lips will feel fine for about two weeks and then the inflammation starts all over again.
I sent you a few e-mails via your website. I would like to know if you can surgically remove some of the bulk from my top lip and if so, would this help with the burning sensation? I really, really need your help.
Thanks in advance!
dr. lam wrote:hi,
i read your email that you sent to me and i will reply here if that is ok.
1. because you have nerve damage already, there is always a chance that it could worsen anytime i cut through a lip that has nerve damage. i am always careful to avoid major nerves but i cannot make any promises if you already have problems there. that is something you need to know. in other words, you could have more numbness afterward. you have to weigh that risk to decide whether to proceed.
2. if your lip is already tight feeling, it could get tighter. that is a common feeling for about 2 months after a lip reduction but it softens. if your lip is already tight, i have to be careful with that. if it is scar tissue, it might need 5FU injections to calm down the scar tissue either before the surgery, after the surgery, or both times. unfortunately, i do not know a lot of doctors who do that.
3. to show more teeth, yes that is possible but not guaranteed. the reason for that is that i trim down the lip until it looks natural. that is all i care about. when i try to shoot for teeth as my end goal, then i may over reduce the lip. conversely, if you already have a gummy smile then when i reduce a large lip i have to be careful not to take it so far down that you have a worsening of that.
i am very experienced with lip reductions but before you decide to see me because of your unique problems you have to be comfortable to assume the risks that i have outlined above before deciding to see me. clearly, when i see you in person i can make a better evaluation but it is important that you weigh pros and cons before making a decision to fly down here and have the procedure performed.
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