These are more or less natural(Physiological) in origin and of cosmetic importance.Lip balm possibly does have no influence.Consult your doc.
Hello,
Fordyce spots are small yellowish-white granules on the inner surface and border of the lips. The spots are a form of ectopic sebaceous gland, and are not known to be associated with any disease or illness and are of cosmetic concern only. They are non-infectious and a natural occurrence on the body. Lip balm has no effect on them.
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.