Sun damage treatment

Actinic Cheilitis Treatment & CO2 Laser Vermilionectomy

ON THE GOLD COAST

Doctor-led diagnosis and treatment for sun damage of the lips with a focus on early intervention, skin cancer prevention and optimal outcomes

DOCTOR-LED | EVIDENCE-BASED | PERSONAL TO YOU

CONCERNED ABOUT CHANGES TO YOUR LIPS?

 Early assessment leads to the best outcomes

Book a consultation with our doctor.

What is Actinic Cheilitis?

Actinic cheilitis is a caused by long-term sun exposure. It affects the red part of the lips and may appear as dryness, scaling, thinning, redness or crusting.

It is considered a  precancerous condition and can progress to squamous cell carcinoma if left untreated.

COMMON SIGNS

  •  Persistent dryness or flaking of the lips
  • Redness or areas of whiteness
  • Crusting or fissures
  • Soreness or sensitivity
  • Changes that do not heal
A patient at Parkwood Skin Clinic has been diagnosed with actinic cheilitis.

Biopsy & Diagnostic Guidance

A clinical examination is performed by our doctors to assess your lips. If there are areas of concern, a small biopsy may be recommended

  • Confirms the diagnosis
  • Rules out or detect early skin cancer
  • Guides the most appropriate treatment

 

We follow evidence-based guidelines to ensure safe and accurate care

CO2 Laser Vermilionectomy

CO2 laser vermilionectomy (also called laser ablation) targets damaged cells across the entire sun-damaged vermilion border.

  • Precise removal of abnormal tissue
  • treat the whole affected area
  • reduces symptoms and recurrence risk
  • performed under local anaesthetic

 

Our doctor is experienced in Co2 laser surgery with a focus on safety and excellent outcomes.

Recovery & Aftercare

Recovery is individual, but most patients can expect:

  • Swelling and tenderness for several days
  • Crusting or granular healing for 1-2 weeks
  • Gradual improvement in lip texture and contour
  • Detailed aftercare instructions provided

 

We are with you throughout your recovery.

Medicare Rebates
& Indication

Treatment for actinic cheilitis may be eligible for a Medicare rebate, particularly when:

  • A biopsy is performed
  • The condition is persistent or extensive
  • There is a risk of progression to skin cancer

 

Our team will advise you of rebate eligibility at your consultation.

Frequently Asked Questions

Is actinic cheilitis the same as lip cancer?

No. Actinic cheilitis is not a lip cancer, but it is a precancerous form of sun damage that can sometimes progress to squamous cell carcinoma. Persistent or suspicious changes should be medically assessed.

CO₂ laser vermilionectomy is performed under local anaesthetic to minimise discomfort during treatment. After the procedure, the lip can feel sore, swollen and sensitive for several days while the treated surface heals.

The goal of CO₂ laser treatment is to remove sun-damaged tissue while preserving the natural contour of the lip. Temporary swelling, redness and crusting are expected during healing, while longer-term changes in colour, texture or scarring are uncommon but possible.

Most patients require around 1–2 weeks for the lip surface to heal after CO₂ laser vermilionectomy. Swelling, tenderness and crusting are expected initially, while redness and sensitivity may take several weeks to fully settle.

Yes. Actinic cheilitis can recur after treatment because the underlying sun damage may continue to affect the lip. Ongoing SPF lip protection, sun avoidance and regular review can help reduce the risk and detect new changes early.

Yes. Alternatives to CO₂ laser include prescription creams, photodynamic therapy (PDT), cryotherapy, electrosurgery and surgical vermilionectomy. The most appropriate treatment depends on the extent of sun damage, biopsy findings and individual clinical factors. Your doctor will discuss the available options following assessment.

We Will Help You Every Step Of The Way​

over 15 years of medical experience