White Bumps on Lips: Causes and Treatment Options Explained - Dermatology

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Strange lesions on the lips!


Hello Dr.
Huang: I have developed small white bumps on my lips that resemble whiteheads.
They are not painful or itchy, but upon closer inspection, there are quite a few of them, and they look somewhat unpleasant.
I'm not sure what they are and if there is any way to improve this condition.
Thank you!

Yaken, 20~29 year old female. Ask Date: 2008/09/25

Dr. Huang Ruiyun reply Dermatology


Hello! That is a sebaceous gland, and it does not require treatment.
Just accept it! Wishing you peace and health.

Reply Date: 2008/09/25

More Info


White bumps on the lips can be concerning, especially when they appear in clusters and resemble whiteheads. These bumps may be caused by several factors, and understanding their origins can help in determining the best treatment options.

One common cause of white bumps on the lips is milia, which are small cysts that form when keratin (a protein found in skin) becomes trapped beneath the surface of the skin. Milia are typically painless and do not require treatment unless they are bothersome or for cosmetic reasons. They often resolve on their own, but if they persist, a dermatologist can remove them through a simple procedure.

Another possibility is sebaceous cysts, which are small lumps beneath the skin that can occur when sebaceous glands become blocked. These cysts are usually harmless and can be left alone unless they become inflamed or infected. In such cases, a healthcare provider may recommend drainage or removal.

Fordyce spots are another benign condition that can appear as small, painless white or yellowish bumps on the lips. These are enlarged sebaceous glands that are not associated with any disease and do not require treatment. They are a normal anatomical variation and are harmless.

In some cases, white bumps on the lips can be related to oral thrush, a fungal infection caused by an overgrowth of Candida yeast. This condition may present with white patches or bumps in the mouth and can be accompanied by discomfort. If you suspect this, it is important to consult a healthcare provider for appropriate antifungal treatment.

If the bumps are persistent and you are unsure of their cause, it is advisable to see a dermatologist. They can perform a thorough examination and may conduct a biopsy if necessary to rule out any serious conditions.

In terms of treatment options, if the bumps are indeed milia or sebaceous cysts, a dermatologist may recommend procedures such as:
1. Extraction: This involves using a sterile needle or a small incision to remove the cyst or milium.

2. Laser therapy: For more extensive cases, laser treatment can help reduce the appearance of these bumps.

3. Topical treatments: If the bumps are related to skin texture issues, topical retinoids may help in promoting cell turnover and preventing clogged pores.

For cosmetic concerns, many people use makeup products to conceal these bumps. It is essential to choose non-comedogenic products that won't clog pores. Products like tinted moisturizers or concealers specifically designed for sensitive skin can be beneficial. Always ensure to remove makeup thoroughly at the end of the day to prevent further irritation.

In conclusion, while white bumps on the lips can be alarming, most cases are benign and can be managed effectively. If you are experiencing discomfort or if the appearance of the bumps is bothersome, seeking professional advice from a dermatologist is the best course of action. They can provide a definitive diagnosis and recommend the most appropriate treatment tailored to your specific condition.

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