Laser vermilionectomy is a specialised procedure that removes the vermilion (the red part of the lips) using advanced laser technology. It is primarily used to treat precancerous lesions, such as actinic cheilitis, a condition caused by chronic sun damage to the lips. If left untreated, actinic cheilitis can progress to squamous cell carcinoma. Common symptoms include rough, scaly patches, persistent cracks, splits, or ulcers, particularly on the lower lip, which is more exposed to sunlight.
How Laser Vermilionectomy Works
- A laser device, such as a CO2 laser (Alma Hybrid) or Erbium YAG laser (Acclaro UltraClear), ablates (vaporises) the damaged tissue of the vermilion and vermilion border.
- The laser precisely targets superficial layers of the lip tissue, removing affected areas, while minimising damage to healthy surrounding tissue.
- The procedure is performed under topical anaesthesia and can be performed under local anaesthesia and nerve blocks for patient comfort if required.
- The laser coagulates blood vessels during the procedure, resulting in minimal bleeding and a relatively short recovery time.
Uses and Benefits of Laser Vermilionectomy
Primary Uses:
- Treatment of actinic cheilitis (precancerous lesions).
Management of other superficial lip lesions, including:
- Superficial basal cell carcinoma (sBCC).
- Squamous cell carcinoma in situ (SCC in situ).
Benefits of Laser Technology:
- Enhanced Precision: Targets only the damaged tissue, preserving healthy areas.
- Reduced Risk of Scarring: Provides better cosmetic outcomes compared to traditional surgical methods.
- Faster Healing: Promotes rapid recovery, with minimal impact on function or appearance.
- Stimulates Collagen Production: Encourages natural healing and creates a smoother, more uniform lip surface.
Key contributors include:
The exact cause of psoriasis is not fully understood, but it is believed to result from a combination of genetic and environmental factors.
- Immune System Dysfunction: Psoriasis is an autoimmune condition where the immune system mistakenly attacks healthy skin cells, accelerating skin cell production.
- Genetics: A family history of psoriasis increases the likelihood of developing the condition.
- Triggers: Factors such as stress, infections, cold weather, certain medications (e.g., beta-blockers), smoking, and alcohol can exacerbate or trigger psoriasis.
Cosmetic and Functional Outcomes
- Natural Appearance Preservation
- Maintains the lip’s natural contour and function, essential for speech and eating.
- Ensures minimal disruption to the overall shape of the lips.
- Enhanced Healing
- Promotes collagen production for better tissue regeneration.
- Results in a smoother, more uniform lip surface post-treatment.
Ablative Lasers Used at KDAA
- ACCLARO ULTRACLEAR Erbium YAG cold fibre Laser
- Offers faster recovery and shorter healing times, making it the preferred option.
- CO2 Lasers (ALMA HYBRID, ILODA FRAXIS DUO)
- Can also be used in laser-assisted photodynamic therapy (PDT) for lip lesions.
Post-Treatment Care
Healing and Recovery Support:
- Exosomes (e.g. Xytide) and growth factors (e.g. Filmed NCTF): Promote healing and reduce inflammation.
- Platelet-Rich Plasma (Regen PRP): Enhances tissue regeneration.
- Silicone-Based and Anhydrous Wound Gels/Ointments (e.g. Stratamed, Dermeze Treatment Ointment): Protects the treated area and minimises infection risks.
Precautions for Cold Sore Reactivation:
Specific measures are taken to reduce the risk of reactivation of the herpes simplex virus.
Alternative Treatments.
Laser-Assisted Photodynamic Therapy (PDT):
- May be an alternative for some cases, particularly milder lip changes.
- Often performed with thulium lasers (LUTRONIC ULTRA 1927, CANDELA NORDLYS 1940) as a series of treatments.
A tailored treatment plan developed in consultation with a dermatologist can help patients achieve effective control over their psoriasis. Organise a referral from your GP to streamline a consult with our dermatologist today.
