Hello there, There are many options out there that can help to lighten pigmentation on the upper lip. Broad Band Light/Halo are fantastic for evening out the pigment of the skin. Microneedling, as well as topical skin lighteners are also great. Lastly, skincare such as Retinol/sunscreen/peels will soften pigmentation slightly, as well as prevent pigment from getting darker with sun exposure. Melasma is a condition with various causes that often is found on the upper lip. This condition can be very difficult to treat, and is mostly chronic. Some of the above treatments can still be utilized to treat this condition, but caution must be taken to avoid rebound pigmentation. I would recommend discussing your concerns with a medical professional. Good luck! -Sarah RN BSN