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For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.
Skin discoloration around the mouth is caused by excess melanin production in your skin. Hormonal changes, medications, and sun exposure are related to hyperpigmentation. Nutritional deficiencies, skin trauma, and other medical conditions may also cause skin discoloration. Over-the-counter skin lightening and brightening creams can effectively reduce the darkening of the area around the mouth. You can look for ingredients like vitamin C, kojic acid, curcumin, niacinamide, glabridin (a liquorice extract), grape seed extract, and azelaic acid.