ANy help gratefully received! 9 months ago i suddenly had tingling on my chin and lower lip, and inside the lip swelled and became very tender. I thought I had cold sores coming, but no, and it continued like this for over a week. Went to GP, he gave me Aciclovir for 5 days, did not help. Swelling gradually subsided but lower lip developed pale patches, with skin flaking off daily. Two months later my dentist referred me to Oral and Orthodontics.

Saw consultant in Jan this year, he took a quick look and said it was sun damage, and I should use sunscreen. I asked if it was Actinic Cheilitis (as I had found out by then), which could be pre-cancerous. He said yes, and did I want a biopsy? I was taken aback and asked if I needed one. He said it was up to me, and would not say whether I did or didn't need one. I said I would have to think about it.

After a bit more research I decided to ask for a biopsy appointment, and turned up to find the same doctor. He seemed surprised and said I could have the biopsy if I wanted, but it could make things worse. I asked again if he thought it necessary or not, but he said it was up to me, and he didn't see any cause for concern. So I didn't have the biopsy.

The swelling, tenderness and pain inside the lip has flared up twice since, with tingling but no cold sores (but small blisters inside lip)

So, can I ask, is it usual to have a biopsy? I also expected some form of treatment to be offered, as per the NHS/Skin Cancer Org websites say. 

I also think I should be seeing a dermatologist too,as the condition is both on the inside and outside of my mouth. Any advice please? I feel this Dr is not sufficiently helpful in my case.