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Published on: 3/5/2025

What Could a Painless White Bump on My Lip Be?

A painless white bump on your lip is often a benign finding, such as a milia, which is a tiny cyst filled with keratin. It’s usually not harmful, but a healthcare professional can examine it if you're worried.

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Explanation

When you see a small, white, and pain-free bump on your lip, one common explanation is that it may be a milia. Milia are tiny cysts that form when keratin—an inoffensive protein from your skin—gets trapped beneath the surface. They are harmless and can appear anywhere on the face, including the lips. These bumps are typically smooth, white, and don’t cause any discomfort. In some cases, they can be confused with other benign white lesions, like Fordyce spots (small, yellowish bumps that are actually sebaceous glands) or even other types of white patches seen in the mouth. According to updated clinical guidelines, the appearance of such lesions is often evaluated by their location, size, and whether they cause pain. Most times, if they’re asymptomatic and stable, no treatment is necessary. However, if the bump changes in size, color, or becomes painful, it’s a good idea to have a doctor or dentist check it out. This way, you can get the proper evaluation and peace of mind.

(References)

  • Mortazavi H, Safi Y, Baharvand M, Jafari S, Anbari F, Rahmani S. Oral White Lesions: An Updated Clinical Diagnostic Decision Tree. Dent J (Basel). 2019 Feb 7;7(1):15. doi: 10.3390/dj7010015. PMID: 30736423; PMCID: PMC6473409.

  • Gallardo Avila PP, Mendez MD. Milia. [Updated 2023 Jan 31]. In: StatPearls [Internet].

  • McKinney R, Olmo H, McGovern B. Benign Chronic White Lesions of the Oral Mucosa. [Updated 2024 Jan 11]. In: StatPearls [Internet].

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