Pathology Outlines 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 Citalopram Induced Oral Melanotic Macules in a Female Patient and a Review of the Literature Cureus Oral Melanotic Macule: Symptoms and Treatment Skinsight Labial Macules: Dark Spots on the Lip Dermatology Advisor Q Switched Laser for the treatment of mucocutaneous pigmentation on Peutz Jeghers Syndrome