Common Lip Conditions and How to Treat Them – Optima Dermatology on New Day Cleveland
February 2025
Today is Valentine’s Day! A day of the year where our lips are top of mind. Did you know that your lips can reveal a lot about your health? Joining us today is Dr. Gregory Delost, a board-certified dermatologist with Optima Dermatology, to discuss common lip conditions and how to treat them.
Skin Cancer (Basal Cell Carcinoma and Squamous Cell Carcinoma)
Let’s start with something many people might not think about—skin cancer on the lips. What should we look out for?
Dr. Delost:
- Look for non-healing sores, rough patches, or lumps on the lips that may bleed or crust
- Skin cancer, including basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), can develop on the lips due to prolonged sun exposure – protect your lips by using a lip balm with SPF and reapplying it often
- If you notice any persistent changes, schedule a visit with a dermatologist right away
Actinic Cheilitis
Speaking of sun damage, can you explain actinic cheilitis?
Dr. Delost:
- Actinic cheilitis is a precancerous condition caused by chronic sun exposure
- It often shows up as dry, scaly patches or cracks on the lower lip
- If untreated, it can progress to squamous cell carcinoma, so early intervention is key, schedule a visit with a dermatologist right away
Angular Cheilitis
Another common condition people deal with is angular cheilitis. What causes it, and how can it be treated?
Dr. Delost:
- Angular cheilitis is an inflammation at the corners of the mouth
- Often caused by saliva pooling in those areas, creating a moist environment for bacteria or yeast to grow
- Treatment depends on the cause—antifungal or antibacterial creams work well, along with keeping the area clean and dry
Contact Dermatitis (Allergic or Irritant)
What about allergic reactions or irritation from products we use on our lips – contact dermatitis?
Dr. Delost:
- Contact dermatitis can occur due to allergens like fragrances, dyes in lipsticks, or even ingredients in chapstick
- Irritant contact dermatitis can result from frequent lip licking or using harsh products
- Symptoms include redness, dryness, and cracking
- The best approach is to identify and avoid the trigger and use gentle, fragrance-free products to restore the skin barrier
Perioral Dermatitis
Another condition that sometimes affects the area around the lips is perioral dermatitis. Can you explain what it is?
Dr. Delost:
- Perioral dermatitis is a rash around the mouth that looks like small red bumps, often mistaken for acne
- The exact cause of perioral dermatitis is unknown, it can be triggered by heavy creams, steroids, or even toothpaste with fluoride, it can also be triggered by hormonal changes, or problems with the immune system
- Treatment includes stopping the triggering product and using gentle skincare
- In some cases, prescription creams or oral antibiotics may be needed
Venous Lake
Lastly, let’s talk about venous lakes. What are they, and are they harmful?
Dr. Delost:
- Venous lakes are small, dark blue or purple spots often found on the lips due to dilated blood vessels
- They’re typically harmless, but some people choose to have them treated for cosmetic reasons with laser treatments or cryotherapy
Closing
Dr. Delost, thank you so much for walking us through these common lip conditions
It’s clear that our lips are delicate and deserve attention. Protecting them from the sun, keeping them hydrated, and seeing a dermatologist for any concerns are all great steps! For more tips and to schedule a visit with Optima Dermatology, head to OptimaDermatology.com. Have a healthy and happy Valentine’s Day!