Small Bumps on the Lips: Causes and Solutions - Dermatology

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A row of small bumps has developed along the borders of the upper and lower lips?


Hello Doctor: Last night after dinner (squid soup + braised pork rice + fresh orange juice + Taiwanese braised tofu), I suddenly noticed small, evenly arranged bumps along the borders of my upper and lower lips.
They are not visible externally, but when I run my tongue over them or press my lips together, they feel rough.
When I stretch my lips tight, I can see small, white, pimple-like bumps that resemble tiny blisters.
They are not painful, and I don't feel any discomfort or dryness...
I'm very anxious and afraid, not knowing what could have caused this.
When I woke up this morning, they were still there...
I'm really worried and hope a kind doctor can answer my question and tell me which specialist I should see.
Could you please reply to my email as well? Thank you! Sincerely, Janey.
Wishing you good health!

janey, 20~29 year old female. Ask Date: 2005/02/24

Dr. Huang Ruiyun reply Dermatology


It is likely just localized sebaceous glands, which are often seen after adulthood due to individual constitution.
There's no need to worry; it is not treatable and can be ignored.

Reply Date: 2005/02/24

More Info


Hello Janey,
Thank you for reaching out with your concerns about the small bumps on your lips. Based on your description, it sounds like you may be experiencing a condition known as "lip papules" or "milia." These small, often painless bumps can appear along the lip line and may resemble tiny whiteheads or water blisters. They are typically harmless and can be caused by several factors.


Possible Causes:
1. Milia: These are small cysts that form when keratin (a protein found in skin) becomes trapped beneath the surface of the skin. They are common and usually appear as small, white bumps.

2. Sebaceous Hyperplasia: This condition occurs when sebaceous (oil) glands become enlarged, leading to small, soft bumps on the skin. They are often skin-colored or slightly yellowish.

3. Allergic Reaction: Sometimes, certain foods, cosmetics, or dental products can cause an allergic reaction, leading to the formation of small bumps. Given that you mentioned having squid soup and other foods, it's possible that one of these could have triggered a mild reaction.

4. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous glands and are completely normal. They can appear on the lips and are not a cause for concern.

5. Fungal or Viral Infections: While less common, certain infections can lead to the formation of bumps on the lips. If you notice any additional symptoms, such as pain, swelling, or discharge, it would be wise to consult a healthcare professional.


Recommendations for Improvement:
1. Avoid Irritants: If you suspect that a specific food or product may have caused the bumps, try to avoid it for a while to see if the condition improves.

2. Maintain Good Hygiene: Keep the area clean and avoid picking at the bumps, as this can lead to irritation or infection.

3. Moisturize: Use a gentle lip balm to keep your lips hydrated, which can help prevent further irritation.

4. Consult a Dermatologist: Since the bumps are persistent and causing you concern, it would be best to see a dermatologist. They can provide a proper diagnosis and recommend appropriate treatments if necessary.

5. Monitor Changes: Keep an eye on the bumps. If they change in appearance, become painful, or if you develop other symptoms, seek medical attention promptly.


When to Seek Medical Attention:
If the bumps become painful, change in color, or if you notice any signs of infection (such as redness, warmth, or discharge), it’s important to see a healthcare provider. A dermatologist will be able to assess your condition accurately and provide you with the best course of action.

In summary, while the small bumps on your lips may be concerning, they are often benign and can be managed effectively. Consulting with a dermatologist will give you peace of mind and help you find the right treatment if needed. Remember, it’s always better to seek professional advice when it comes to skin concerns.

Wishing you good health and a speedy resolution to your concerns!
Best regards.

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