column (e.g. in newspaper)
2025.09.26
For lip pigmentation treatment, visit a cosmetic dermatology clinic.
As an Assistant Professor, Associate Ward Director, and Chief of Dermatopathology at the university hospital dermatology department, I deepened my expertise through academic presentations and paper publications both domestically and internationally. I have handled a wide range of treatments, from birthmark therapy in children to adult pigmentation concerns, utilizing various lasers and injection therapies, while also contributing to community healthcare. Through encountering numerous cases, I strongly felt the potential and necessity of aesthetic medicine, resolving to pursue further expertise. Building upon my solid dermatological knowledge and meticulous diagnostic skills, I value treatments that gently support each individual's skin while bringing out its inherent beauty.
Lip pigmentation or similar conditions around the lips, such as hyperpigmentation, can occur and are frequently brought up in consultations.
Stains and pigmentation on the lips significantly affect one's appearance, making proper diagnosis and treatment at a cosmetic dermatology clinic crucial.
I am Dr. Aya Hayama, a board-certified dermatologist.

Lip pigmentation significantly impacts one's overall facial appearance, making it a common concern for many. In cosmetic dermatology, pico lasers are widely adopted for treating lip pigmentation, particularly...Using "Pico Toning" and "Pico Spot" appropriately is effective.It is said that.
picotoning
For extensive pigmentation or uneven tone across the entire lip area, Pico Toning gradually breaks down melanin at low power.がSuitable.RepresentativeSunspotIt appears on the lower lip due to ultraviolet rays and naturally fades with multiple treatments.Oral melanosis caused by smoking or chronic irritationPico toning can also improve these conditions, but combining it with lifestyle changes like quitting smoking and avoiding irritants is crucial for preventing recurrence. Additionally, for lip inflammation or herpes that leaves behindPost-inflammatory hyperpigmentationIf the condition persists, you can even out your lip tone with pico toning.
picot
On the other handPicoSpot is suitable for localized pigmented lesions.。Flat nevusThese are naturally occurring brown spots, and since pico toning often yields insufficient results, pico spot treatment—which allows for concentrated irradiation—is recommended. Appearing in adulthoodHunziker-Laugier SyndromeFor brown spots, PicoSpot may be considered if you wish to improve their appearance, but they tend to recur and are difficult to remove completely.
It is also essential to clearly understand the cases where laser treatment is not indicated.Malignant melanomaThis is a life-threatening condition, and cosmetic laser treatment is contraindicated. If it rapidly enlarges, becomes mottled in color, or is accompanied by ulcers or bleeding, immediate examination by a dermatologist is required. Furthermore,Poitz-Jagger SyndromeThis hereditary condition causes multiple brown spots on the lips. However, due to the risk of gastrointestinal polyps and malignant tumors, it is not a candidate for cosmetic laser treatment, and systemic management takes priority.
※Addendum
Regarding dark spots on the areola, these may be post-inflammatory hyperpigmentation (pigmentation remaining after friction or inflammation of the nipple and areola), brown pigmentation due to aging or hormonal changes, or localized flat nevi. These conditions may be treated with:Pico toning and pico spot treatments that break down melaninPico Toning is effective for extensive areas of light pigmentation, while Pico Spot is suitable for localized dark spots.
For lip pigmentation treatment, Pico Toning is effective for extensive pigmentation and overall tone improvement, while Pico Spot is effective for localized, spotty pigmentation. However, pigmentation associated with malignant tumors or hereditary diseases is not suitable for laser treatment. Obtaining an accurate diagnosis is the first step toward safe and effective treatment. In cosmetic dermatology, diagnostic accuracy and the appropriate application of laser treatment significantly influence outcomes. Therefore, individualized treatment based on expert judgment is essential for patients concerned about lip pigmentation.
If you're experiencing any concerns, please come in for a consultation.