Thank you for your question and for sharing your photo. Dark spots on the lips can be concerning, but several treatments and procedures can help improve their appearance. Here are some options to consider: Topical Treatments: Lightening Agents: Topical creams containing ingredients like hydroquinone, kojic acid, vitamin C, or azelaic acid can help lighten dark spots. These should be used under the guidance of a dermatologist to ensure safety and effectiveness. Lip Balms with SPF: Protecting your lips from sun exposure with a lip balm containing SPF is crucial, as UV rays can worsen pigmentation. Chemical Peels: Superficial Peels: Mild chemical peels using glycolic acid or salicylic acid can help exfoliate the pigmented layers of the skin on your lips, promoting the growth of new, lighter skin. Laser Treatments: Q-Switched Laser: This type of laser specifically targets pigment and can effectively reduce dark spots on the lips. Multiple sessions may be required for optimal results. Microneedling: Collagen Stimulation: Microneedling can stimulate collagen production and help improve the overall texture and pigmentation of the lips. This treatment can be combined with topical serums for enhanced results. Hydration and Exfoliation: Regular Care: Keeping your lips hydrated and gently exfoliating with a lip scrub can help maintain healthy skin and prevent further pigmentation. Consultation: Professional Evaluation: It’s important to have a consultation with a board-certified dermatologist who can assess your specific condition and recommend the most appropriate treatment plan tailored to your needs. Remember, consistency and patience are key when treating pigmentation issues. Always follow your dermatologist's advice and use sun protection to maintain the results. Best of luck with your treatment! Best regards,