Darkening Around the Lips: Causes and Solutions

Darkening and hyperpigmentation around the lips?

Hello Doctor, my inner lip area is pink, but the pigmentation around my lips and at the corners has become very severe, and even the philtrum area is starting to darken.
I initially thought it might be due to not properly removing my makeup for a while, which could have caused the pigmentation.
However, I have been diligent about removing my makeup recently, yet the pigmentation has worsened.
Recently, even the area above my lips, close to the philtrum, has started to darken (not due to shadow from fine hairs).

From a Traditional Chinese Medicine perspective, it might be related to spleen and stomach deficiency with cold.
I have consulted a gastroenterologist, and although I have symptoms of a gastric ulcer, the doctor noted that my palms do not show cyanosis, suggesting that the darkening of my lips is likely a dermatological issue.
Therefore, I visited a dermatologist, who recommended that I undergo blood tests at a hospital to check for any abnormal release of melanin from the brain.
Since there are no large medical facilities nearby for blood tests, and given the severity of the pandemic, I am hesitant to travel north for treatment.
I would like to ask you first: what conditions could be indicated by the results of the blood tests? Based on the findings, how can I improve my condition? This issue has been troubling me for a long time, and my friends and family have even asked if I am getting sick (crying with my face covered).
I would greatly appreciate your response.

ling, 20~29 year old female. Ask Date: 2021/07/08

Dr. Wu Yuxin reply Dermatology

Excessive makeup removal and friction may be the cause.
Without seeing the lesions, it's difficult to determine the exact issue.
If it is very bothersome, please seek medical attention promptly.

Reply Date: 2021/07/08

More Info

The darkening around the lips, particularly the pigmentation changes you are experiencing, can be attributed to several factors, including environmental influences, lifestyle choices, and underlying health conditions. Let's explore the potential causes and solutions for this issue.

Causes of Darkening Around the Lips
1. Hyperpigmentation: This is the most common cause of dark patches on the skin, including around the lips. Hyperpigmentation can result from prolonged sun exposure, hormonal changes, or post-inflammatory changes from skin irritation or trauma.

2. Skin Irritation: If you have not been diligent in removing makeup or if you have been using products that irritate your skin, this can lead to darkening. Ingredients in cosmetics, especially those that are not suited for your skin type, can cause irritation and subsequent pigmentation.

3. Diet and Nutrition: Traditional Chinese medicine often links skin health to internal organ function. A deficiency in certain nutrients, particularly vitamins A, C, and E, can affect skin health. Additionally, digestive issues, such as those related to the spleen and stomach, may manifest as skin problems.

4. Underlying Medical Conditions: Conditions such as liver disease, hormonal imbalances, or even certain medications can lead to changes in pigmentation. If your gastrointestinal issues, like ulcers, are affecting your overall health, they could contribute to skin changes.

5. Genetics: Some individuals are more prone to pigmentation changes due to their genetic makeup. If there is a family history of similar skin issues, this could be a contributing factor.

Diagnostic Approach
Since you have already consulted with a gastroenterologist and a dermatologist, it is wise to follow their advice regarding blood tests. Blood tests can help rule out conditions such as liver dysfunction, hormonal imbalances, or deficiencies in vitamins and minerals.
1. Liver Function Tests: These can help assess if your liver is functioning properly, as liver health is closely tied to skin appearance.

2. Hormonal Panels: If hormonal imbalances are suspected, tests for thyroid function or sex hormones may be warranted.

3. Nutritional Assessments: Checking levels of vitamins and minerals can help identify deficiencies that may be affecting your skin.

Treatment Options
1. Topical Treatments: Depending on the diagnosis, your dermatologist may recommend topical treatments such as hydroquinone, retinoids, or vitamin C serums to help lighten hyperpigmentation. Sunscreen is crucial to prevent further darkening.

2. Chemical Peels or Laser Treatments: For more persistent pigmentation, dermatologists may suggest chemical peels or laser treatments to remove the top layers of skin and promote new skin growth.

3. Lifestyle Modifications: Ensure you are maintaining a balanced diet rich in fruits, vegetables, and whole grains. Staying hydrated and reducing sun exposure can also help improve skin health.

4. Regular Follow-ups: Keep in touch with your healthcare providers to monitor your condition and adjust treatments as necessary.

Conclusion
The darkening around your lips can be multifactorial, and while it may be distressing, understanding the underlying causes is the first step toward effective treatment. Blood tests can provide valuable insights into your health, and addressing any deficiencies or imbalances may significantly improve your skin condition. Remember to be patient, as changes may take time, and maintaining a consistent skincare routine is essential. If you have further concerns or if your condition worsens, do not hesitate to seek medical advice.

Similar Q&A

Understanding Dark Lips and Eye Circles: Links to Depression and Health

My lips are not very rosy; they appear somewhat dark, and I often have dark circles under my eyes, even when I get enough sleep. I actually have depression, and I'm wondering if this is related.

Dr. Zhao Chongliang reply Internal Medicine
Dull and lackluster lip color in women may indicate insufficient makeup removal, leading to lipstick pigment deposition; in men, smoking should be considered first. If these issues are not present, it could be a sign of poor blood circulation or even anemia. The skin on the lips ...

How to Treat Dark Pigmentation Around the Lips Effectively?

What should I do about the dark discoloration around my lips due to melanin deposition? I previously consulted a doctor who prescribed a topical ointment, but it hasn't been very effective. Thank you.

Dr. Cai Changlin reply Dermatology
Hello: The characteristics of the hyperpigmentation around your mouth, including its location, size, color intensity, duration, whether it involves the mucosa, and any previous lesions, all make a difference. It is essential to have a visual examination, so I recommend that you c...

Understanding Darkening Lips: Causes, Treatments, and When to See a Doctor

I would like to ask the doctor, my lips are darkening around the edges, what could this condition be? Also, if I want to seek medical attention, which specialty should I consult? Is this condition treatable? Thank you for your response.

Dr. Zheng Lizhen reply Dermatology
Hello! It is recommended that you consult a nearby dermatologist for an accurate diagnosis and treatment. Best wishes for your health from the Taoyuan Hospital of the Ministry of Health and Welfare, Dermatology Department, Dr. Cheng Li-Chen.

Understanding Dry and Dark Lips: Causes and Solutions

Dear Dr. Jiang: My lips are dry and they appear somewhat dark. What could this be a symptom of? Thank you.

Dr. Jiang Zheen reply Dermatology
Dry lips can have many causes, one of which is frequent licking, which can lead to increased dryness. If there is no itching or pain, applying a lip balm locally should suffice. Wishing you peace, Jesus loves you.