Labial melanotic macule Stock Image C057 2077 Science Photo Library Pigmented (Purple or Brown) Lesions in the Mouth Pigmented (Purple or Brown) Lesions in the Mouth Kazemi Oral Surgery Facialart.com Labial Lentigo (labial melanotic macule) Cancer Therapy Advisor In the process of removing a Labial Melanotic Macule. A Labial Melanotic Macule is a well defined, oval, brown to black, flat patch on the central third of the lower lip, as seen 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