Understanding Lip Spot Causes and Treatments 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 lower lips. Removal of a melanotic macule on the lip with Q switched laser before and after photos taken 3 months apart, after a single treatment #dermatologist #dermatology #laser #laserderm #ottawaskincare #toc #ottawalaserclinic #cosmetics # An oral melanotic macule is a harmless dark spot found on the lip, most often the lower lip, or inside the mouth, either on the gums, inside the cheek, or on the roof of the mouth. An oral melanotic Labial Macules: Dark Spots on the Lip Dermatology Advisor Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360