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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Thick, Crusty Skin On Upper Lip?

For quite a few years I have had thick, crusty skin on my upper lip. At first it was just a little, but now it is about 1/2 an inch across and is getting below my upper lip line. I have tried several antifungal creams, lotramin, hydro cortisone, etc. I have sanded it with a clean fingernail file and have to use tweezers almost every day to get loose skin off. Any thoughts? I am 66, weigh 175. Breast cancer on each side is my only serious health history. They were each found in a yearly mamagram and were very small. I had a mastectomy with reconstruction both times. The first time, almost 14 years ago, I took Tamoxifin for 5 years. The second time, about 9 years ago, no treatment was recommended.
Thu, 24 May 2018
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Dentist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

As per your query you have symptoms of thick, crusty skin on upper lip which is due to fungal infection known as Tinea faciei/fungal infection and could be due to frequent licking, extreme dry weather, and excessive sun exposure. Need not to worry. I would suggest you to use lip moisturizer with SPF 15 to prevent from sun exposure. Apply topical antifungal agents on it mainly steroids. You should take supplement containing vitamin B6 which will be extremely helpful in this condition. Avoid dry environment and apply Tretinoin ointment at night. Keep you body hydrated. If condition persists for more the 10 days consult dermatologist for proper examination to rule out other condition like any inflammatory disease.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Harry Maheshwari
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What Causes Thick, Crusty Skin On Upper Lip?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per your query you have symptoms of thick, crusty skin on upper lip which is due to fungal infection known as Tinea faciei/fungal infection and could be due to frequent licking, extreme dry weather, and excessive sun exposure. Need not to worry. I would suggest you to use lip moisturizer with SPF 15 to prevent from sun exposure. Apply topical antifungal agents on it mainly steroids. You should take supplement containing vitamin B6 which will be extremely helpful in this condition. Avoid dry environment and apply Tretinoin ointment at night. Keep you body hydrated. If condition persists for more the 10 days consult dermatologist for proper examination to rule out other condition like any inflammatory disease. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harry Maheshwari