melanotic macule by joud aljuhani on Prezi COM March 2009 Diagnosis UW School of Dentistry Summit Enlighten Laser to treat labial melanotic macules on the lip before and after. Facebook A Black Spot on the Upper Gum for Many Years: Melanotic Macule Springer Nature Link 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 Mucosal melanocytic macules