Persistent Lip Peeling: Causes, Treatments, and When to Seek Help - Dermatology

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Chapped lips


Hello, doctor.
I have been experiencing peeling lips for about two months.
I apply a thick layer of petroleum jelly before bed, but I still wake up with very dry and tight lips.
After brushing my teeth, the peeling becomes more noticeable (most of the peeling occurs at the edges of my upper and lower lips).
I have been using Vaseline Triple Refining Gel on my lips for over a month, but there hasn't been much improvement.
Can I continue using it? Thank you.

Yu, 20~29 year old female. Ask Date: 2015/09/23

Dr. Li Yufen reply Dermatology


Hello: Theoretically, lip peeling during the summer shouldn't be too severe.
However, since it has persisted for two months, I recommend that you consult a dermatologist nearby to confirm the diagnosis and determine if medication is necessary.
Thank you!

Reply Date: 2015/09/23

More Info


Persistent lip peeling can be a frustrating and uncomfortable condition, and it’s important to understand its potential causes, treatment options, and when to seek professional help.

Causes of Persistent Lip Peeling
1. Environmental Factors: Exposure to dry, cold, or windy weather can lead to chapped lips. Indoor heating can also contribute to dryness.


2. Dehydration: Not drinking enough water can lead to dry skin and lips.
3. Allergic Reactions: Certain lip products, toothpaste, or even foods can cause allergic reactions that manifest as peeling lips.

4. Skin Conditions: Conditions such as eczema, psoriasis, or cheilitis (inflammation of the lips) can cause persistent peeling.

5. Vitamin Deficiencies: Deficiencies in vitamins, particularly B vitamins, can lead to skin issues, including lip peeling.

6. Habitual Licking: Frequently licking your lips can lead to a cycle of dryness and peeling.


Treatment Options
1. Moisturizers: While you have been using Vaseline, which is an occlusive agent that helps to lock in moisture, it may not be enough if the underlying cause is not addressed. Consider using a lip balm that contains additional hydrating ingredients like shea butter, cocoa butter, or hyaluronic acid.

2. Hydration: Ensure you are drinking enough water throughout the day. Aim for at least 8 glasses, or more if you are active or live in a dry climate.

3. Avoid Irritants: If you suspect that a product you are using may be causing irritation, try eliminating it from your routine. This includes toothpaste with strong flavors or lip products with fragrances.

4. Humidifiers: Using a humidifier in your home can help maintain moisture in the air, especially during winter months.

5. Dietary Adjustments: Ensure you are consuming a balanced diet rich in vitamins and minerals. Foods high in omega-3 fatty acids (like fish and flaxseeds) can help improve skin health.

6. Topical Treatments: If the condition persists, consider over-the-counter hydrocortisone cream to reduce inflammation, but use it sparingly and not for extended periods.


When to Seek Help
If your lip peeling persists despite trying these treatments for a few weeks, or if you notice other symptoms such as swelling, redness, or pain, it is advisable to seek professional help. A dermatologist can provide a thorough examination and may conduct tests to determine if there is an underlying skin condition or allergy contributing to your symptoms.

In summary, while Vaseline is a good start for moisturizing your lips, it may not be sufficient if there are other underlying issues at play. Consider the factors mentioned above, and if necessary, consult with a healthcare professional for a tailored treatment plan. Remember, persistent symptoms warrant a closer look to ensure that you receive the appropriate care.

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