Is focal melanotic lesion potentially malignant? A case report ScienceDirect Oral melanotic macula on the upper gingival mucosa on a 40 year old Download Scientific Diagram Labial melanotic macule 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. Oral Melanotic Macule: Symptoms and Treatment Skinsight Pigmented Lesions of the Oral Mucosa Springer Nature Link