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. A cross sectional study of physiologic volar melanotic macules: Demographic, historical, clinical, and dermatoscopic features of a common yet neglected pigmentary variant in individuals with skin of color Journal of the American Oral melanotic macula on the lower labial vestibular mucosa on a Download Scientific Diagram Oral melanotic macule" Lip pigmentation Figure 1 from Oral melanotic macule a case report. Semantic Scholar