White Bump on Lip: Is It a Pimple or Something Else? - Dermatology

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A small white bump on the lip?


Doctor, I have a white bump on the lower left side of my lip.
I was wondering if it might be a pimple, but it doesn't look like one, so I'm hesitant to pick at it.

Qing, 20~29 year old female. Ask Date: 2015/12/28

Dr. Wu Yuxin reply Dermatology


A literal description is not sufficient to confirm the diagnosis without actually seeing the lesion; it is recommended to have a dermatologist evaluate it for proper assessment.

Reply Date: 2015/12/28

More Info


When you notice a white bump on your lip, it can be concerning, and it's understandable to wonder whether it's a pimple or something else. There are several possibilities for what this bump could be, and understanding these can help you determine the best course of action.

One common cause of a white bump on the lip is a pimple, which is typically caused by clogged pores due to excess oil, dead skin cells, and bacteria. These can appear as small, raised, and sometimes painful spots. However, if the bump is not painful and does not have the characteristics of a typical pimple (like redness or inflammation), it could be something else.

Another possibility is a milia, which are small cysts that can appear on the skin, including the lips. Milia are usually white or yellowish and are caused by keratin trapped beneath the skin's surface. They are harmless and often resolve on their own, but they can be mistaken for pimples.

Cold sores, caused by the herpes simplex virus, are another potential cause. These typically start as small, fluid-filled blisters that can be painful and are often accompanied by itching or burning sensations. Cold sores usually appear on or around the lips and can be triggered by stress, illness, or sun exposure.

Additionally, a sebaceous cyst could be a possibility. These are non-cancerous lumps that can form under the skin when a sebaceous gland becomes blocked. They can appear anywhere on the body, including the lips, and are usually painless unless they become infected.

If the bump is persistent, changing in size, or accompanied by other symptoms such as pain, swelling, or discharge, it is advisable to consult a healthcare professional. They can provide a proper diagnosis and treatment options.
In terms of treatment, if it is indeed a pimple, over-the-counter topical treatments containing benzoyl peroxide or salicylic acid can be effective. For milia, gentle exfoliation or professional extraction by a dermatologist may be necessary. Cold sores can be treated with antiviral medications, either topical or oral, especially if caught early.
It's important to avoid picking at or squeezing the bump, as this can lead to infection or scarring. Keeping the area clean and avoiding irritating products can help as well.
In summary, while a white bump on the lip could be a pimple, it could also be a milia, cold sore, or sebaceous cyst. Observing the characteristics of the bump and any accompanying symptoms will help you determine the next steps. If in doubt, seeking medical advice is always the best course of action to ensure proper care and treatment.

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