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 Dermoscopy of venous lake on the lips: A comparative study with labial melanotic macule PLOS One Oral Melanotic Macule: Symptoms and Treatment Skinsight Labial Lentigo (labial melanotic macule) Cancer Therapy Advisor Labial Lentigo (labial melanotic macule) Cancer Therapy Advisor Pigmented Lesions of the Oral Mucosa Pocket Dentistry