Key takeaways:
Dry and chapped lips can be caused by the weather, skin-care products, medications, and even some infections.
The best way to treat and prevent dry, chapped lips is to use a fragrance-free, petrolatum-based lip balm with SPF year-round.
Dry lips can sometimes be a sign of a more serious medical condition. Talk to a healthcare professional if you have dry lips along with cracks, swelling, or ulcers.
Most people experience dry, chapped lips from time to time. Need proof? The lip balm industry brings in nearly $900 million each year in the US.
Lip inflammation (officially, cheilitis simplex) can leave you with dry, chapped, and painful lips. It can also cause red, violet, or brown discoloration on — or around — your lips, as you can see in these pictures.
Chapped lips can happen for a variety of reasons. Let’s take a look at nine common causes of dry, chapped lips and what to do about them.
Cold weather is a common cause of dry and chapped lips. It stiffens and dries out keratin. Keratin is a protein found in hair, nails, and skin. It helps protect your skin from irritants and keeps moisture locked in.
Your lips have a lot less keratin than the rest of the skin on your body. That’s why lips are more likely to dry and crack, even while other areas of exposed skin on your face and body don’t seem to be affected by the cold weather.
Both dry air and wind damage keratin. This makes lips dry and cracked. It can also lead to lip peeling, which is the keratin separating from the top layer of the lip.
So if you’re exposed to dry air, and wind, and cold air, your lips are much more likely to take a hit. That’s why it’s so common to develop chapped lips after outdoor activities like skiing or water sports.
It’s natural to lick your lips, especially when they feel dry. But too much lip licking is a common cause of dry and chapped lips.
Angular cheilitis: This common condition causes painful, cracked lips. Read about angular cheilitis, what causes it, and what to do about it.
Could you have a cold sore? Here’s all you need to know about cold sores, what they look like, and the best treatments.
Is your medication causing a dry mouth? From antihistamines to antidepressants, learn which medications can cause a dry mouth.
When you lick your lips too often, it leads to a constant wet-dry cycle, which disrupts the skin barrier and causes inflammation. This inflammation then triggers more lip licking, continuing the cycle.
Over time, the skin breakdown from lip licking can result in skin infection and post-inflammatory hyperpigmentation.
Some people find that despite constantly applying lip balm, their lips may still feel dry. This is because some lip balms have ingredients that can cause an allergic reaction in some people.
A skin allergy to lip balm can cause dryness, peeling, irritation, and itching.
Here are some common ingredients to look for in your lip balm that may trigger or worsen lip inflammation:
Colophony
Shellac
Sesame oil
Dyes
Fragrances
Preservatives
Avoid these ingredients when choosing a lip balm. You also want to make sure that other things that frequently touch your lips — like lipstick, mouthwash, and toothpaste — don’t contain them either.
It’s also worth thinking about other objects that come in contact with your lips too. For example, some metal objects often contain nickel, such as:
Pen clips
Paperclips
Pins
Jewelry
Hair accessories
If you have a nickel allergy, these habits could be triggering your lip symptoms.
Sunlight exposure can boost your mood and your health. But unprotected sun exposure can cause sunburn, even on your lips. This can lead to inflamed, dry, and painful chapped lips. Over time, too much unprotected sun exposure can lead to precancerous spots. On the lips, these are called actinic cheilitis.
Your lips are more vulnerable to ultraviolet (UV) damage from the sun because they’re thinner and less pigmented than surrounding skin. Because pigment provides natural sun protection, less pigmentation makes skin particularly vulnerable.
If not treated, sun damage spots can lead to skin cancer.
People who smoke can develop glandular cheilitis. This is a lip condition that causes dryness, swelling, and uneven bumps. Having glandular cheilitis increases your risk of lip infections and lip cancer.
Different medications can lead to dry, chapped lips. One class of medications that commonly causes dry lips is retinoids. These medications derived from vitamin A include isotretinoin (a pill used to treat severe acne) and retinol skin creams.
In pill form, retinoids can significantly dry out your skin and lips. Dry lips are less likely with retinol creams. But it can be a side effect if the cream comes into contact with the lips.
Other medications that can dry out your lips (and mouth) include:
Antihistamines (like Benadryl and chlorpheniramine)
Benzodiazepines (like alprazolam and lorazepam)
Angular cheilitis is a type of lip infection that develops when bacteria, yeast, or fungus infects already dry, chapped lips. It leads to painful cracks in the corners of the lips and peeling. Some people who get cold sores also develop dry, chapped lips, although this is less common.
Most of the time, dry lips aren’t a sign of anything serious. But they can sometimes be a sign of a new or underlying medical condition. Here are some conditions that can cause dry or chapped lips:
Lupus (systemic lupus erythematosus)
Most dry lips can be treated at home with a good moisturizing routine. But there are some situations where prescription medications may be needed.
Occlusive moisturizers, like lip balms or petrolatum (Vaseline or Aquaphor), are the best treatment for dry, chapped lips. They provide instant relief by creating a protective layer over the lips and trapping in moisture.
But be sure to pick a lip balm that won’t worsen inflammation. Choose one that’s free from fragrances, dyes, and preservatives. Instead, look for a lip moisturizer that contains any of the following ingredients:
Hydrating emollients, like ceramides and dimethicone
Sun-protective ingredients, like titanium oxide or zinc oxide
Nourishing oils, like shea butter, hemp seed, or castor oil
If your dry lips are caused by an infection, like angular cheilitis or herpes, you may need prescription medications to treat it.
These treatments may be:
Antifungals, like ketoconazole cream
Antibacterials, like mupirocin ointment
Antivirals, like acyclovir pills
Here are some things you can do to prevent dry lips:
Wear lip balm with SPF. Apply lip balm or a petrolatum lip product regularly, especially if you’re going to be exposed to cold, dry, and windy weather. A product that’s at least SPF 15 will do double duty by protecting your lips from UV rays.
Avoid licking or picking your lips. This will dry out your lips and lead to irritation. If it’s hard for you to stop licking or picking at your lips, talk to a healthcare professional about treatment options. Cognitive behavioral therapy (CBT), for example, can help redirect your focus away from these kinds of habits.
Use a humidifier. Humidifiers add moisture to the air. This moisture keeps the keratin on your lips soft and healthy. As a bonus, humidifiers protect the rest of your skin and keep your hair from drying out too.
Most of the time, dry lips aren’t a symptom of any underlying health problem. They’re usually caused by the weather.
If dry lips don’t improve with moisturization and lip balm, then it could be a sign of an infection or an allergy. In this situation, your primary care provider or a dermatologist can help you get the right diagnosis and treatment.
Dry lips aren’t usually caused by a nutrient deficiency.
Sometimes, a vitamin B12 deficiency may lead to dry mouth and lips, but this isn’t common. Talk to your healthcare team if you’re concerned about low vitamin B12 and before starting any new supplements.
There could be a few different reasons your lips aren’t holding moisture. The most common cause is a dry or cold environment. If this is the case, you may need to help your lips by moisturizing them regularly throughout the day. Adding a humidifier to your home can also help by adding moisture to the air.
If despite these approaches your lips remain uncomfortably dry, you could be dealing with an underlying health or skin condition.
No, not necessarily. Mild dehydration in the body doesn’t show up as dry skin (or lips). As a result, drinking more water doesn’t usually add more moisture to your skin. The best way to hydrate your lips is by using a hydrating balm regularly.
The most common reasons for dry lips are extremes of weather. But lip balm allergies, excessive licking, and medications can chap and crack your lips too. In most cases, you can soothe dry lips with a petrolatum lip product or a lip balm that’s free of fragrances and dyes. But keep in mind: Health conditions that cause dry skin can also affect your lips. So if things don’t improve, check in with a healthcare professional to see what’s going on.
Images used with permission from VisualDx (www.visualdx.com)
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