<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have excess scar tissue on my upper lip from an accident 12 years ago. its not obvious to most people but I am an actress so people are looking directly at my smile quite often. the tissue is about the size of a dime or skittle and is mainly seen when I smile because of its contrast to my teeth and other side of mouth. about how much will it cost to have is removed so give me a more even smile? and what type of proceedure should I be researching? Thanks  <response>: More often than not, your scar will be a result of poor muscle approximation in the lip. This leads to a puckered scar or a wide scar. This will most probably need a scar revision, muscle reapproximation and very good post op care for a period of not less than 6 months. I would advise scar massage, which is the most neglected part of scar care. It is very difficult to imagine what you speak of. A photograph would help. Regarding costs, depends on where you are located. Should be a straightforward, day care procedure with fairly decent results. 