As we age, our bodies naturally begin to show more noticeable changes — and that includes our lips. White or pale spots on the lips can be alarming at first, but in most cases, they are harmless and manageable. Still, understanding what causes these spots and when to seek help is an important part of healthy aging and self-care.

One of the most common causes of white spots is Fordyce spots. These are visible oil glands that appear as tiny white or yellow dots, typically near the lip line. They’re completely harmless, non-contagious, and require no treatment unless desired for cosmetic reasons. Similarly, mucoceles are soft, fluid-filled lumps caused by minor trauma to the mouth’s salivary glands — such as biting your lip — and usually go away on their own. If they persist, a quick visit to a specialist can help with removal.

Perioral acne or dermatitis is another possible cause. Often triggered by skincare products, certain toothpastes, or hormonal changes, this condition presents as small white bumps around the lips, sometimes with redness. It’s treatable with gentler products or medications prescribed by a dermatologist. On the other hand, cold sores—caused by the herpes simplex virus—begin as painful blisters and are highly contagious. Antiviral treatments can reduce symptoms and speed recovery, especially if used early.

Sometimes, white spots are caused by allergic reactions or irritants, such as fragranced lipsticks, whitening toothpastes, or even certain foods. Older adults are more prone to developing sensitivities, and discontinuing the offending product typically clears up symptoms. Lastly, oral hygiene and age-related changes—like dry mouth or slowed healing—can also lead to minor white spots, irritation, or buildup.

While most white lip spots are harmless, it’s important to see a doctor or dentist if you notice spots that grow, bleed, become painful, or don’t heal. In rare cases, persistent spots could indicate more serious conditions like oral lichen planus or even precancerous changes. Staying aware, practicing good oral care, and trusting your instincts is key to maintaining both lip health and overall well-being.