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If you request they may be able to remove dark patches with laser surgery.
A natural remedy you can use to lighten patches of skin including dark spots on your lips or scars is to use lemon juice.
If you try to brush or scrape this coating away, it can cause slight bleeding.
If you spend a lot of time outdoors exposed to the sun then make sure to wear a lipgloss or moisturiser with sun-block included.
If you smoke or drink excess alcohol then you should cut this down.
You should also see a dentist and or dermatologist.
They will be able to screen for lip cancer or mouth cancer, and to check the quality of any dental fixtures.