White Bumps on Lips: Causes and Treatments - Dermatology

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The lips have white, rice-like lesions?


Hello Dr.
Wu: I have developed small white, rice-like bumps on my upper lip.
They are not painful or itchy, and you wouldn't notice them unless you look closely.
They just feel smooth and white to the touch.

maki, 20~29 year old female. Ask Date: 2013/10/11

Dr. Wu Yuxin reply Dermatology


It may be a condition known as Fordyce spots, which are sebaceous gland structures.
However, a definitive diagnosis would require an assessment of the actual situation.

Reply Date: 2013/10/11

More Info


The white bumps you are describing on your lips could be indicative of several conditions, but the most common causes are likely to be either Fordyce spots or mucoceles.
Fordyce Spots are small, painless, pale bumps that are actually sebaceous glands without hair follicles. They are completely normal and harmless, often appearing on the lips or inside the cheeks. These spots are usually not a cause for concern and do not require treatment unless they become bothersome or for cosmetic reasons.

Mucoceles, on the other hand, are fluid-filled cysts that can occur when a salivary gland becomes blocked or damaged. They can appear as small, painless bumps and may be translucent or bluish in color. Mucoceles are also generally harmless and often resolve on their own, but if they persist or cause discomfort, a healthcare provider may recommend treatment options, which can include drainage or surgical removal.

In some cases, white bumps on the lips can also be caused by other conditions such as:
1. Oral Thrush: This is a fungal infection caused by an overgrowth of Candida yeast. It can present as white patches or bumps in the mouth, including the lips. This condition may require antifungal treatment.

2. Lichen Planus: This is an inflammatory condition that can affect the skin and mucous membranes, leading to white, lacy patches or bumps. Treatment typically involves topical corticosteroids or other medications to reduce inflammation.

3. Herpes Simplex Virus (HSV): While typically associated with painful blisters, some individuals may experience milder forms of the virus that can present as small white bumps. If you suspect this might be the case, antiviral medications may be necessary.

4. Allergic Reactions: Sometimes, an allergic reaction to food, cosmetics, or dental products can cause white bumps or swelling on the lips. Identifying and avoiding the allergen is crucial in such cases.

5. Pearly Penile Papules: While this condition is more common in males, it is worth noting that similar structures can appear on the lips and are harmless.

Given that your white bumps are not painful or itchy and are only noticeable upon close inspection, they are likely benign. However, if you are concerned about their appearance or if they change in size, color, or sensation, it is advisable to consult a healthcare professional or a dermatologist for an accurate diagnosis and appropriate management.

In summary, while the white bumps on your lips are likely harmless, it is always best to monitor any changes and seek professional advice if needed. Regular check-ups can help ensure that any potential issues are addressed early on.

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