Brief Answer: More details and pictures required Detailed Answer: Hi I understand your concern regarding your skin problem and I hope I am able to help you in the same . Only from the description , it is difficult to make out the exact diagnosis . I would like to have a look at the exact skin lesions . It would be great if you can click some close up pictures of the skin condition and upload them here on this page. You can also mail them at YYYY@YYYY with heading as ref to Dr Geetika Paul . Also please tell what all are you applying over the lips at present. What are you applying for the cold sores. Are you currently having oral thrush? I am sure I will be able to help you more once you provide me the above details and the pictures . Waiting for your response Dr Geetika Paul

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Brief Answer: Fordyce spots, benign lesions Detailed Answer: Hi again I have seen the attached pictures . You seem to have developed fordyce spots over the lips. Now these are basically benign skin lesions and tend to occur in certain predisposed people. They can develop over the oil glands. You simply need to apply vaseline and keep the area moisturized. Avoid picking the lesions. In most cases on treatment is required unless they are a major cosmetic problem. In such a case, they can be treated by a dermatologist using radiofrequency or lasers. So you need not be very worried about these white lesions since they are not infective and are not related to cold sores or thrush. Dr Geetika Paul

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Brief Answer: Avoid over usage of medicines Detailed Answer: Hi again You seem to be having an excessive dryness of lips and the surrounding area . This might just be the cause of the associated discomfort d. Fordyce spots are usually asymptomatic in nature and are not associated with any discomfort . I would advise you to simply use vaseline over the lips and stop application of all other agents. You cannot simply stop or suppress completely an attack of cold sore in case it has to come up. In case you tend to develop any kind of localised grouped raised or vesicular lesions suggestive of cold sores, then you might need to start treatment. But in your case, I do not clinically see any reason to apply any medicines, other than a moisturizer . The redness that you have developed could have occurred due to neosporin . This is quite an irritant antibiotic and should be avoided over sensitive areas especially around lips and eyes. Once you stop it's application , we can expect the skin to slowly return back to normal. Dr Geetika Paul

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