Crappy vitamins could also be affecting your lips by not providing the nutrients you think you are getting. I would not have a surgeon remove any of your lip tissue. I think the affected part might be missing collagen in that area. I just want to clear up that the N-lite laser is not like other lasers that burn off your skin. It does not burn your skin off. That is what is so cool about it. I would not consider it if it did. I guess this laser is also used for Acne so it could help with some bacteria on lips.