Dermatology pale lips with little white spots on the?

Fordyce spots. What you describe are known as fordyce spots. These are a variant of sebaceous glands (the glands that normally produce sebum and are usually found within hair follicles). Fordyce spots are sebaceous glands without hair follicles. They are present in 80-95% of adults. They are generally harmless and do not require any treatment. If it is cosmetic concern then see a board certified dermatologist.
Diagnosis. You should see your dermatologist for treatment and evaluation.