How Are Cleft Lip Scars Managed?
Scar management is important after cleft lip repair. Here is what families should know.
All cleft lip repairs leave a scar. The goal is to have a scar that fades and becomes less noticeable over time.
- Early scar management (first 6 months):
- Silicone gel or sheeting: apply daily to the scar
- Scar massage: gentle circular pressure for 5 minutes twice daily
- Sun protection: SPF 30+ on the scar at all times
- Avoid tension on the scar during healing
- What to expect:
- Months 1β3: The scar is red, firm, and raised (normal)
- Months 3β6: The scar begins to soften and fade
- Months 6β12: The scar continues to improve significantly
- Year 1+: The scar is much less noticeable
- Later treatments (if needed):
- Laser therapy to reduce redness
- Steroid injections for thickened scars
- Surgical scar revision if the scar widens
Clinical Guidance
Cleft lip scars improve significantly over the first year. Silicone gel, massage, and sun protection help the scar fade as much as possible. Scar revision is rarely needed.