Pigmented Lesions of the Oral Cavity Oral and Maxillofacial Surgery Clinics Living with Labial Melanotic Macule: Tips for Management and Embracing Your Skin's Uniqueness This patient has multiple labial melanotic macules. These are essentially freckles of the lips. These most commonly involve the lower lip. This patient had involvement of both the upper and lower lips. melanotic macule by joud aljuhani on Prezi