Melanotic Macule Lip TikTok Pigmented macular lip lesion Clinical Advisor 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 Oral pigmented lesions: a pragmatic approach to diagnosis and management Faculty Dental Journal Macular Pigmented Oral Mucosal Lesions: An Amalgam Tattoo Case Report Dentistry Today 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.