Pigmented Macula on the Gingival Papillain a Young Male: Diagnosis and Management: A Case Report Oral Melanotic Macule MEDizzy a Melanotic macule at the wetdry line of the lower lip. b Melanotic Download Scientific Diagram Spotty lips. These are labial melanotic macules, kinda like freckles on the lips. They are mostly due to age and sun exposure, but sometimes they run in families and are associated with Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome Labial melanotic macule (brown spot on lip) (Stony Brook Case 1) dermatology dermatopathology