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Suggest Treatment For Exfoliative Dermatitis On Lips

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Posted on Thu, 15 Oct 2015
Question: As per doctors view, my son is having axefolitive cheilitis on lips since last 3 months. The lip skin is coming and going everyday.
He is 17 year old.
Now we wanted to do surgery either plastic or cosmetic or laser.
Pl advice me.

doctor
Answered by Dr. Charu Bansal (1 hour later)
Brief Answer:
fluticasone cream and tacrolimus ointment

Detailed Answer:
Hello. Welcome to Healthcaremagic.com. I have read your query. I understand your concern.
Exfoliative dermatitis lips is very commonly found problem especially in those who have habit of lip licking. The skin of lips peel off in a day or two mainly in coming in contact with water. The skin regenerates in few days and subsequently again peel off.
In such cases, I advice my patients to keep the lips properly moisturised. Lip licking should be completely avoided.
I usually advice to apply fluticasone cream in the morning and tacrolimus 0.1 percent in night time. The condition may take 3-4 months for complete cure.
You may go for surgical intervention also. You should visit your doctor so that he can examine your child and give you prescription. You should rather try for medical management first before going fir surgery. You can share my opinion with your doctor. I am sure that he would agree with this.
I hope it helps. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Charu Bansal (7 hours later)
Thanks for good advice.
But my son don't have lip leaking habits. What is the other causes of cheilitis?
My son(17 yrs) is currently using Top graf 1% and Pasitrex at night alternate day since last 10 days and using petrolium gelly continuously. Is it OK ?
Whether any type of cheilitis surgery advisable? If yes, any side effects or any problems in Surgery? And what is the time period of healing of surgery? Is it surgery is completely curable?
Waiting for your good advice.
doctor
Answered by Dr. Charu Bansal (8 hours later)
Brief Answer:
you may continue the treatment

Detailed Answer:
Yes you may continue the treatment.
The results of surgery are variable and it is very rarely required in such cases. Most of the cases respond to treatment. It may take 4-6 weeks in complete healing. However there are chances of recurrence even after surgery. Lip licking is a contributory factor. It can occur without any valid cause in predisposed individuals.
Hope I am able to solve your query.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Charu Bansal (21 hours later)
images are attached. whether it is 100% curable? what is the time period of complete healing as per medicine mentioned in earlier question
? He is in 12th so we r worried. whether he will take bath with soap? Whether he can touch any food or glass on lip? Is there any precaution required for early healing. ? in Lab report, vitamin D total is 6.1, whether this will effect on lip.
doctor
Answered by Dr. Charu Bansal (8 hours later)
Brief Answer:
you should continue the treatment for atleast 3 months

Detailed Answer:
Hello. Welcome back.
The medications my take 4-6 months fpr complete cure. In most of the cases, 100 percent cure is achieved . Yes he may take bath with soap and can touch food and glass with lips. He needs to avoid any cosmetic product except lip balms for lips.
Vitamin D levels do not affect this condition.
You should continue the treatment for atleast 3 months .
I hope I am able to solve your query.
Stay healthy.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Charu Bansal

Dermatologist

Practicing since :2010

Answered : 773 Questions

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Suggest Treatment For Exfoliative Dermatitis On Lips

Brief Answer: fluticasone cream and tacrolimus ointment Detailed Answer: Hello. Welcome to Healthcaremagic.com. I have read your query. I understand your concern. Exfoliative dermatitis lips is very commonly found problem especially in those who have habit of lip licking. The skin of lips peel off in a day or two mainly in coming in contact with water. The skin regenerates in few days and subsequently again peel off. In such cases, I advice my patients to keep the lips properly moisturised. Lip licking should be completely avoided. I usually advice to apply fluticasone cream in the morning and tacrolimus 0.1 percent in night time. The condition may take 3-4 months for complete cure. You may go for surgical intervention also. You should visit your doctor so that he can examine your child and give you prescription. You should rather try for medical management first before going fir surgery. You can share my opinion with your doctor. I am sure that he would agree with this. I hope it helps. Take care.