Labial melanotic macule (brown spot on lip) (Stony Brook Case 1) dermatology dermatopathology Oral Pigment lesions My Doctors The Labial Melanotic Macule Matt 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 Oral pigmented lesions: a pragmatic approach to diagnosis and management Faculty Dental Journal