discolouration of area above top lip on child

My daughter has discolouration above her top lip, I've looked it up in lots of places and it always seems to relate to waxing/bleach etc, or hormone based, however my daughter is only 6 and doesn't wax/bleach or anything else. I'd like to know what it is and if it needs treatment if possible. It almost looks like a bruise with very small pinkish dots but she says she hasn't hit her face.

[Bhupinder Kaur, MD]

Hello,
If the scar above the top lip is not present since birth, then it can be due to simple hyperpigmentation skin. This darkening occurs when an excess of melanin, the brown pigment that produces normal skin color, forms deposits in the skin.
I suggest you to get an evaluation done from a dermatologist. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.