What can be done for hyperpigmentation around the mouth?

Question

Hello doctor,

I am an 18-year-old female. Since the age of 12, I have been dealing with pigmentation in my smile line area and under my mouth. Over the years, the condition has worsened, giving the appearance of wrinkles despite it being solely pigmentation-related. For the past three years, I have applied SPF 50 sunscreen every day, and for the last five months, I have been using Kojic acid soap and Azelaic acid specifically on these affected areas. Despite all this, I have seen little to no improvement. In fact, it seems like the condition may have worsened slightly. I suspect that this pigmentation is a result of hormonal melasma triggered by puberty. I have previously attempted using Alpha arbutin and Vitamin C without success. I am now seeking advice on alternative methods or treatments that could effectively eliminate this pigmentation issue.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Hyperpigmentation on the philtrum, the area between the nose and lips, can sometimes appear darker than other blemishes, creating the illusion of a mustache. This type of discoloration is not a serious concern and can be attributed to various factors, including diet and external influences.

A deficiency in certain vitamins can contribute to hyperpigmentation on the entire face, including the sensitive areas near the lips. In particular, insufficient levels of vitamins B12 and D can exacerbate the issue. I would suggest you undergo tests to determine if a vitamin deficiency is playing a role in hyperpigmentation.

I hope this information helps you.

Thank you.