Brief Answer:
Kindly upload few good resolution pictures of area

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for change in color of the lower lip.

In view to help you best I humbly request you to kindly upload few good resolution pictures of the affected area focusing the area of concern. Kindly send good resolution pictures focusing the area of concern which can be seen on higher magnification.

For uploading the pictures you have a facility on the right side of the page or else you can send on:

YYYY@YYYY

with "attention:Dr Sanjay Kumar Kanodia"

The pictures will be confidential and would not be available for anyone else to see except me.

Do let me certain other information:

- Any pain or itching or discomfort over same.

- Any history of friction over the same.

- Any other relevant point which you think is important telling me about the area.

Hope to hear soon from your side.

With regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology

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Brief Answer:
“Post inflammatory hypopigmentation" or PIH.

Detailed Answer:
Hello young lady,

Welcome again and thanks for posting your pictures.

I can understand your apprehension for the whitish spot. After analyzing the pictures with best clinical acumen let me reassure you that all your conditions are quite normal and there is no disease state or abnormality in the same at present .

Let me explain all your issue : The light spot is basically known as “Post inflammatory hypopigmentation" or PIH. To tell you simply, our skin is multilayered structure. There are certain color producing cells are present in the skin layers.

These melanocytes are the cells which regularly produces color/pigment known as melanin in the skin. These are superficially present in the upper skin known as epidermis.

There is a tendency in us to get higher or lower activity of these melanocytes after any minor to major irritation or injury. The lip skin is prone increased or decreased pigmentation as is most thinnest skin and therefore can cause over production or decreased production of melanin in the skin. In yourself it is hypo (decreased o light spots) pigmentation" or PIH..

This in general doesn’t require any kind of treatment because of thin nature of the skin. But in some cases I prefer to use Tacrolimus ointment. This is already been prescribed to you so can use it as per your doctor's suggestion.

I hope these information's will help you. If you have further queries I will be happy to help.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)

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