Black Spots on the Upper Lip: When to Seek Dental Advice

The transition area between the red vermilion of the upper lip and the outer lip (which is darker)?

Hello, doctor.
Recently, I found a small black spot about 1mm in size at the junction of the vermilion border and the outer lip (which is darker) on my upper lip.
It looks like a mole.
Here is the photo: http://www.wretch.cc/album/show.php?i=bluevigin&b=1&f=1585965459&p=0.
What should I do about it? If it doesn't go away, should I take action, or is it okay to just monitor it as long as it doesn't show any signs of malignant changes?

Aguang, 30~39 year old female. Ask Date: 2013/05/21

Dr. Zhuang Suhui reply Dentistry

I'm sorry, your album is closed and cannot be viewed.

Reply Date: 2013/05/21

More Info

When it comes to the appearance of black spots on the upper lip, particularly in the area where the vermillion border (the colored part of the lip) meets the outer lip, it is essential to approach the situation with caution and awareness. The presence of a small black dot, approximately 1mm in size, resembling a mole, can be concerning for several reasons, and understanding when to seek dental or medical advice is crucial.

Firstly, it is important to recognize that changes in the skin or mucous membranes, such as the appearance of new spots, should not be ignored. While many black spots can be benign, such as freckles or harmless moles, they can also indicate underlying issues that may require further investigation. In your case, since the spot is new and has not been present before, it is advisable to monitor it closely.

If the spot does not disappear within a few weeks or begins to change in size, shape, or color, it is essential to seek professional evaluation. A dental or medical professional can perform a thorough examination and may recommend a biopsy if there is any suspicion of malignancy or other skin conditions. It is particularly important to be vigilant if the spot exhibits characteristics such as irregular borders, asymmetry, or color variation, as these can be signs of more serious conditions, including skin cancer.

In addition to monitoring the spot, consider other factors that may contribute to changes in the skin, such as sun exposure, smoking, or other lifestyle habits. These factors can lead to pigmentation changes and should be addressed as part of a comprehensive approach to oral and overall health.

If the black spot is accompanied by other symptoms, such as pain, itching, or bleeding, it is crucial to seek immediate medical attention. These symptoms could indicate an infection or other complications that require prompt treatment.

In summary, while a small black spot on the upper lip may not necessarily indicate a serious problem, it is essential to monitor it closely and seek professional advice if it does not resolve or changes in appearance. Regular dental check-ups can also help in identifying any oral health issues early on, including changes in the soft tissues of the mouth and lips. Maintaining good oral hygiene and being aware of changes in your body are key components of proactive health management. If you have any concerns or uncertainties, do not hesitate to reach out to a healthcare professional for guidance.

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