Melanotic macules of the tongue in a newborn Journal of the American Academy of Dermatology Pigmented Lesions of the Oral Cavity Oral and Maxillofacial Surgery Clinics Happy Wednesday! , In this video, a patients labial melanotic macule (a benign pigmented lesion) is being treated with liquid nitrogen. Labial melanotic macules are flat and asymmetrical with a Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 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 Lingual melanotic macule the first case report in an adult patient* Anais Brasileiros de Dermatologia