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. Mara Ever wondered what those little brown spots are that are often found on the lip? Many refer to them as a freckle but the medical term is melanotic macules. Labial melanotic macule Freckle on Lip: Meaning, Causes and Is It Dangerous? (Labial Melanotic Macule) La Bouche Parfaite A Fast Growing Black Patch on the Upper Front Gum: Malignant Melanoma Springer Nature Link Lenticular melanotic macule on the lower lip of a Laugier Hunziker Download Scientific Diagram