Figure 1 from Oral melanotic macule a case report. Semantic Scholar 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 Labial melanotic macule Stock Image C057 2077 Science Photo Library Labial melanotic macule. B). Increased numbers of me lanocytes along Download Scientific Diagram PDF) Lingual melanotic macule the first case report in an adult patient Melanotic macule. Benign. Dark spot on labia (or lip). Analogous to lentigo simplex. Hyperpigmented basal keratinocytes & dermal melanophages. Slight in single basal melanocytes; NO nests. More info like this in