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Darkening around the mouth In our skin tone, pigmentation around mouth is commonly seen. It is important to know the cause for it. Causes: 1. Drooling of saliva: 2. Constant rubbing, pursing of lips 3. Perioral dermatitis 4. History of steroid use 5. Acanthosis nigricans 6. Macular amyloidosis 7. Contact dermatitis to lip products., cosmetics, tooth paste 8. Fixed drug reaction: implicated drugs are antibiotics, antimicrobials and NSAIDs. 9. Constitutional What can we do First find the cause. Break bad habits such as constantly rubbing, pursing, licking. Do’s and don’ts • moisturise before sleeping if you drool, apply Vaseline in angle on mouth • do not use steroid cream • do not purse lips, rubbing, licking lips • take a note of cosmetics Approach • r/o acanthosis nigricans: If darkening around eyes and thickening of skin in neck, then have to rule out acanthosis nigricans. We will go your fasting and post prandial blood sugar levels. Treatment: • skin lightening creams: kojic acid, arbutin, azelaic acid , niacinamide or vitamin C. Few brand names : Clearz plus cream, Biluma cream, Kojivit cream, Even twice A week use of creams containing glycolic acid such as demelan may help in lightening. I have a detailed review on demelan cream. • Anti-inflammatory cream like tacrolimus may help in perioral dermatitis • Sunscreen • Chemical peels: type and session depends on the skin type. • Nd:YAG laser • Sometimes you may just have to go for cosmetic camouflaged. And use concealer and colour correctors. Especially if you have darkening just on angles of mouth, then these are tough to treat. Home remedies: Tomato juice Potato juice Curd and honey Follow us on: Instagram: / dr.aanchal.. . Facebook: / dr.aanchalmd. . Twitter: / draanchalmd Clinic address : Dermafollix hair transplant and skin clinic, Upper ground 9-10, Sheron plaza ,parle point, Athwalines Surat : 395007 Gujarat. Disclaimer: Content provided on this Youtube channel is for informational purposes only. This video is not intended to provide diagnosis, treatment or medical advice. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options