Darker patch of skin

I have a darker area of skin above my top lip which looks like a moustache, i have had it before but it went away and now it is back and darker, I find it very embaressing and wanted some advice on how to get rid.... It is not itchy or sore and the area of skin is not dry?  Please help?

[Bhupinder Kaur, MD]

Hello,
Without examination,confirmation of a diagnosis is tough,but it can be due to hyperpigmentation of the skin. This darkening occurs when an excess of melanin, the brown pigment that produces normal skin color, forms deposits in the skin.

Treatment involves hydroquinone, azelaic acid, corticosteroids, tretinoin cream and laser treatment. Pls discuss these options with your dermatologist before using them.Also then get the possibility of fixed drug eruption ruled out.

Hope it helps.Take care and pls do keep me posted on how you are doing or if you have any additional queries.Warm regards.