I've had them for 10 years now and I did try to get them treated but it didn't work and made it more noticeable. I believe I have a great personality and I was more confident back then but as I started to get older I get more depressed and self-conscious about these spots thinking no girl would ever want to get close to these lips. I think it would be easy to overlook had you already known the person, but I really do have a hard time approaching women and getting close to them because of how self-conscious I am about these spots.
As you can see, the white spots cover most of my upper lip and some on the bottom. My lips are actually smooth it's just the bumps are visible underneath the skin.