White Buildup at Lip Corners: Causes and Solutions - Dermatology

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There is a white, pasty substance at the junction of the lips?


Dear Doctor: I often notice a white, paste-like substance at the junction of my two lips, resembling a white line on the inner side of my lips.
Every time I speak, it feels like I'm foaming at the mouth (but it's not at the corners of my mouth).
This white, paste-like substance does not appear at regular intervals, and I have to constantly check for its presence and use a tissue to wipe it away (it cannot be removed with my tongue).
I have tried various lip balms and even attempted to let my lips rest without applying anything, but nothing has improved the situation.
How can I resolve this? (My lifestyle is quite normal, and I do not wear makeup.) Thank you.

Wang Chun, 20~29 year old female. Ask Date: 2006/09/07

Dr. Zheng Lizhen reply Dermatology


Hello: It is not possible to make a diagnosis based solely on your description.
Please consult a dermatologist nearby for an accurate diagnosis and treatment.
Sincerely, Dr.
Cheng Li-Chen, Dermatologist.

Reply Date: 2006/09/07

More Info


The presence of a white, paste-like buildup at the corners of your lips can be concerning and may be attributed to several underlying causes. This condition, often described as a white line or accumulation at the inner corners of the lips, can be related to a variety of factors, including but not limited to, mucosal changes, irritation, or even infections.

One possible cause of this white buildup could be a condition known as angular cheilitis, which is characterized by inflammation and cracking at the corners of the mouth. This condition can be caused by a fungal or bacterial infection, often exacerbated by moisture accumulation in the area, leading to the growth of yeast or bacteria. The white substance you are observing may be a result of this infection, particularly if it is accompanied by soreness or discomfort.

Another potential cause could be a condition known as leukoplakia, which presents as white patches on the mucous membranes. While leukoplakia is more commonly associated with tobacco use, it can also occur in individuals without any known risk factors. It is important to note that leukoplakia can sometimes be a precursor to more serious conditions, so it is essential to monitor any changes in the appearance of the patches.

Additionally, the white buildup could be related to the use of certain lip products or even dietary factors. Some individuals may develop sensitivities or allergic reactions to ingredients in lip balms or cosmetics, leading to irritation and subsequent buildup. Similarly, dietary deficiencies, particularly in vitamins such as B2 (riboflavin) or B12, can manifest as changes in the mucous membranes, including the lips.

Given that you have tried various lip balms and have allowed your lips to rest without any products, it may be beneficial to consider other treatment options. Here are some recommendations:
1. Maintain Oral Hygiene: Ensure that you are practicing good oral hygiene. Regularly brushing your teeth and rinsing your mouth can help reduce the buildup of bacteria and yeast in the oral cavity.

2. Avoid Irritants: Identify and avoid any potential irritants. This includes certain lip products, foods, or habits that may exacerbate the condition. If you suspect a specific product, consider discontinuing its use.

3. Moisturize: While you have tried various lip balms, consider using a simple, fragrance-free moisturizer that is less likely to cause irritation. Look for products that contain natural ingredients like beeswax or shea butter.

4. Consult a Dermatologist or Oral Specialist: If the condition persists, it is advisable to seek the opinion of a dermatologist or an oral health specialist. They may perform a physical examination and, if necessary, conduct tests to determine the underlying cause of the white buildup.

5. Consider Antifungal or Antibiotic Treatment: If an infection is suspected, a healthcare provider may prescribe antifungal or antibiotic medications to address the underlying cause.

6. Dietary Considerations: Ensure that your diet is well-balanced and includes adequate vitamins and minerals. If you suspect a deficiency, consider consulting a healthcare provider for advice on supplementation.

In conclusion, while the white buildup at the corners of your lips may seem benign, it is essential to monitor the condition closely and seek professional advice if it does not improve. Early intervention can help prevent potential complications and ensure that any underlying issues are addressed effectively.

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