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Dermatology  (Expert Forum)
 | 
Pigmentation problem on skin above lip
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Pigmentation problem on skin above lip

by toray, Aug 21, 2003 12:00AM
I've always had sun spots around my nose and cheeks.  However, a few weeks ago I began to notice pigmentation problems on the skin above my upper lip.  Specifically, when I wore foundation, I noticed a darker area above my lip, which almost looked like a mustache from far away.  In addition, a white spot recently appeared on the same area ~0.5 cm in length.  See photos #1, #2, and #3 at www.sover.net/~toray

What is causing the dark spots and this strange white spot to show up?  A cosmetologist recommended a product called Vantex, which contains 2% hydroquinone, 5% methoxycinnamate, 1.5% oxybenzone, to lighten the dark spots - but I haven't tried it yet.  Is it safe to use this Vantex product?  Will it make the white spot even more pronounced?  I was concerned that it might be tinea versicolor - and I also read that skin cancer can show up as a white spot.  I would appreciate any advice you might be able to provide regarding the diagnosis and any way to get rid of the dark spots as well as the white spot.

Also, I have a growth on my leg - see photos #4 and #5 - that has been there for months.  I wondered if it was a mole or wart or possibly something to be concerned about.  Any thoughts?

Thank you!

by Alan Rockoff, MD, Aug 22, 2003 12:00AM
Good pictures.

The facial condition is chloasma (sometimes called melasma.)  Usually occurs in women, aggravted by sun.  Blamed on pregnancy and hormones but shouldn't be.

The cream recommended is a good start.  If that (plus the coming of fall) doesn't help, a dermatologist can prescribe stronger products.

The leg bump looks like a dermatofibroma--common in women also and benign.  Show your doctor next time you go.

Take care.

Dr. Rockoff
Member Comments (3)

by Kestrel, Sep 20, 2003 12:00AM
I have just recently been experiencing darkened skin on the upper lip over the past several months.  I am 32 years old and have been on birth control pills for 15 years and have never had a problem (i've been reading that this may be the cause?)  But I also got  a lot more sun this year than i usually do and i'm thinking that could be more likely the issue.  What do you recommend for treatment?  I'd prefer not to go off the birth control pills if possible.

Thanks

by JTWifey, Nov 11, 2003 12:00AM
around close to a month ago i noticed a black pot on my bottom lip normally it wouldnt be a problem but i have a pink bottom lip. then  a couple of days later another spot appeared on my lip. i went to a doctor pedetrictrian im 16. he told me it was because i bit my lip constantly and just to use vaseline and stop biting my lip. i took his advice and now the spots are growing there is a third spot thats growing rapidly. i know it can be a lip bitting habit so whats causing this horrible pigmentation.

by J_Dot_Starhh, Aug 31, 2009 12:55PM
A related discussion, Dark Patch On Upper Lip was started.

by Boonie67, Nov 07, 2009 05:31PM
A related discussion, dermatofibroma was started.
Continue discussion
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