Labial melanotic macule Stock Image C057 2077 Science Photo Library 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 Should I get a 2nd opinion about these freckles on my lips from another dermatologist? Last time they say it's just sun spots but the bottom one in particular still keeps me Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome