Oral Melanotic Macule: Symptoms and Treatment Skinsight Pigmented Lesions of the Oral Cavity Oral and Maxillofacial Surgery Clinics Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Spotty lips. These are labial melanotic macules, kinda like freckles on the lips. They are mostly due to age and sun exposure, but sometimes they run in families and are associated with