I am fair skin woman. But there dark some dark patches on facial skin below the lower lip. It is that much dark that it can be easily observed from far. The problem is from at least 10-12 years. And it is not due to sun. I have used many ointments of hyperpigmentation but dint get any result. Pls help. Thank you.

Dr. Sandesh GuptaDermatologist22yrs exp

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These spots result from high amounts of skin-darkening melanin in certain areas of your skin. This melanin can be set off by triggers from inside and outside your body. This melanin condition is called hyperpigmentation. The triggers might include sun exposure, melasma, and skin inflammation. Climate may also cause such pigmentation. The skin around your mouth is drier during cold season. Some people tend to wet that area with their saliva, which can darken the skin. If you haven't been out in the sun much, you may be over-wetting the area around your mouth. Know that the skin around your mouth is thin. This can lead to discoloration, dry skin, and mouth wrinkles. These problems do not go deep into the skin, so you will probably not need an invasive treatment. You may be able to easily get rid of your discoloration by treating or exfoliating the skin. Treatment involves Daily exfoliation with a mild facial exfoliant, you may use kojic acid for a while. See a dermatologist. If you aren't sure what's causing the dark area around your mouth, a dermatologist may be able to diagnose the problem and suggest a treatment. 

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