Pigmented Lesions of the Oral Mucosa Pocket Dentistry Labial Melanotic Macules in Atopic Dermatitis: An Observational Study Semantic Scholar Labial melanotic macule dermoscopy: A pigmented labial lesion 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 Labial Macules: Dark Spots on the Lip Dermatology Advisor