Modern dermatology can provide a variety of ways to treat lip wrinkles and marionette lines associated with perleche, and improve skin quality in general. This ranges from proper skin care to laser resurfacing. Facial fillers and fat may be used to replace the loss of connective tissue in the lips and provide support due to aging. Laser, fillers and other techniques can be used to remove both superficial and deep wrinkles and result in a healthier, rejuvenated appearance. This subject will be covered more fully in an upcoming issue of Dear Doctor magazine.
Necrobiosis lipoidica: If you’ve had diabetes for a long time without good control of your blood sugar, you could develop this condition. Poor blood supply to the skin can cause changes in the collagen and fat underneath. The overlaying skin becomes thin and red. Most lesions are found on the lower parts of the legs and can turn into an ulcer if there’s trauma. Lesions have fairly well-defined borders. Sometimes, the condition is itchy and painful. As long as the sores don't break open, you won't need treatment for them. If the sores do break open, see your doctor.