a Melanotic macule at the wetdry line of the lower lip. b Melanotic Download Scientific Diagram Dermoscopy of venous lake on the lips: A comparative study with labial melanotic macule PLOS One Pigmented Lesions of the Oral Mucosa Pocket Dentistry Oral Melanotic Macule: Symptoms and Treatment Skinsight 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. 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