From what you describe, I would see a dermatologist as soon as you can. It's not just birthmarks by openings that need to be checked -- what grabbed my attention is the color description of black and blue.
Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong...
Coupling CO2 Laser resurfacing with dermabrasion has been used successfully to resurface perioral lesions. These are typically deep defects that are only partially corrected with CO2 Laser alone. If your interested in facial resurfacing, I recommend you seek a consultation with a Board Certified...