I always seem to get pimples above my lips or on it. Usually where the skin meets the lip. They are usually never extremely painful but if i mess with them then it hurts. They are usually small compared to cold sore pictures ive seen online. i was wondering if the cold sore pictures online are extreme case or the how most cold sores really look? As for this week ive had two red pimple like structures next to each other pop up above my upper lip. Is it true that razor bumps and acne can be confused for cold sores?