melanotic macules, or
freckles, as we more commonly know them, are little brown spots on the skin. they can develop anywhere on the body, including on your lips, inside your lips, and on your gums.
freckles develop when the body produces too much melanin as a result of exposure to the sun. melanin is a pigment that determines a person’s hair and skin color.
it’s important to monitor your
freckles even though they’re generally harmless. there are several options you can choose from if you’d like to remove your
freckles.
while lips might look different from the skin surrounding them, they’re still part of the epidermis, which is the outermost layer of the skin. this means that lips are still sensitive to ultraviolet (uv) light from the sun.
the skin contains cells that produce melanin, which might protect the skin from the sun’s uv rays.
freckles result from melanin accumulation on the skin’s outer layer due to sun exposure.
freckles are common in people who have a genetic predisposition to them.
thyroid conditions or pregnancy may also contribute to
freckles on the lips. however, these conditions typically darken existing spots or make them more noticeable rather than create them.
do lip freckles pose risks or complications?
lip
freckles are mostly harmless and a natural reaction to sun exposure. people with lighter skin might have a higher chance of developing
freckles.
your
freckles might be permanent or may come and go. both are normal. despite this, it’s important to monitor your
freckles, as it’s possible that a brown spot on your lip can be more than just a
freckle.
the biggest risk factor associated with
freckles is skin cancer. so how do you know if your
freckle is harmless or a cause for concern?
try a self-exam using the “abcde” method to determine what’s worth checking out:
● asymmetry: if you draw a line through the middle of your
freckle, do the halves match? if they don’t, it’s asymmetrical and you should arrange a visit to a doctor.
● border: notice the edges of your
freckle. flag for review by a doctor if they’re uneven and bumpy.
● color. if you notice a variety of colors in your
freckle, consider showing it to a dermatologist.
● diameter: if your
freckle is bigger than a 1/4 inch in diameter, talk with your doctor or dermatologist.
● evolving: if you notice a change in shape, color, size, texture, or elevation, it’s worth seeing a doctor.
if you notice any of the above criteria, it’s important to make an appointment with a primary doctor or dermatologist.
other skin lesions similar to
freckles
freckles are one of many lesions that can develop on the lips. below are some other lesions that might resemble
freckles:
● peutz-jeghers syndrome is an inherited condition that has associations with a predisposition to certain types of cancers. children with this condition may develop dark-colored spots on the mouth, lips, eyes, nose, hands, and feet. doctors typically diagnose it by genetic testing and genetic counseling.
●
moles may resemble
freckles and are extremely common. they can also be a product of sun exposure but do not require sun exposure to develop. unlike
freckles, which are typically flat, moles present as raised areas on the skin.
●
sunspots are usually larger patches of melanated skin that can form over the face, lips, and body. like moles and
freckles, they’re usually harmless.
●
chapped lips can cause dark spots to develop. to prevent chapped lips, try drinking more water, using a
humidifier, and applying lip balm throughout the day.
the most effective way to prevent lip
freckles is to protect your lips from the sun. as a start, you can:
● wear wide-brimmed hats when you go outside
● use lip balm with spf
● limit your exposure to direct sunlight
while lip
freckles are normal and typically harmless, there are a handful of options you can pursue if you’d like to remove them for either cosmetic or preventive reasons.
keep lips moisturized
according to a 2016 studytrusted source, moisturizers help the skin fight
pigmentation. by applying a moisturizing lip balm to your lips daily, you may notice that your lip
freckles will gradually fade.
natural remedies
while scientists haven’t proven that natural remedies work for
freckle removal, they’re safe enough to try if you use them in moderation.
try making a lip scrub with lemon juice, honey, and sugar. many people believe that honey and lemon lighten skin. always take care when using these ingredients, as the acidity and sugar levels might irritate the skin.
additionally, some people believe that foods that contain lactic acid, like buttermilk, sour cream, and yogurt, can lighten the skin. apply directly to your lips and leave on for a few minutes.
if you notice any irritation to your skin while trying these methods, stop using the remedy immediately.
topical retinoid cream
retinoids are vitamin a compounds that can improve sun-damaged skin and lighten
freckles. they’re available both over the counter and by prescription.
retinoids may cause redness, dryness, and sun sensitivity to the area where you applied the product.
consider applying extra
sunscreen when using retinoids, and only apply the retinoid at night.
topical fading cream
fading creams are available both over the counter and by prescription. most fading creams contain ingredients that suppress melanin production and lighten dark areas of the skin.
exercise caution when applying topical fading creams to the area around the mouth, as these creams can be dangerous if you ingest them. always check the warning labels before applying these creams, and speak with a doctor if you have any questions.
cryosurgery
cryosurgery is the most common treatment that doctors use to treat lesions on the skin. essentially, it zaps the skin with extremely cold liquid nitrogen. the liquid nitrogen freezes and destroys the targeted skin cells. some possible side effects are hypo
pigmentation, bleeding, and blistering.
laser surgery
lasers focus intense light on damaged areas of the skin with short pulses. a 2015 study indicated that several types of specialized lasers can treat or reduce the appearance of
freckles.
most doctors and healthcare professionals consider lasers to be safe. however, they might cause side effects, like itching,
swelling, redness, peeling, and infection. laser treatment is a relatively expensive and intrusive option.
when to see a doctor
freckles are typically harmless and are common around the lip area.
consider seeking a doctor if you:
●
observe that your
freckle meets any of the criteria of the abcde (asymmetry, border, color, diameter, evolving) method
● think that you might have a predisposition to skin cancer
● suspect that you have the gene for peutz-jeghers syndrome
●
are considering a prescription topical cream, cryotherapy, or laser therapy for
freckle removal
●
to be safe, it’s a good idea to schedule annual checkups with a dermatologist to monitor any potentially cancerous growths. this is especially important if you have a lot of
freckles or know of any family members who have skin cancer.
to find a doctor or dermatologist in your area, consider using the healthline findcare tool.