Derm Dx: Dark Lesion on Lower Lip Clinical Advisor Labial melanotic macule. B). Increased numbers of me lanocytes along Download Scientific Diagram Oral Melanotic Macule: Symptoms and Treatment Skinsight Oral Melanotic Macule: Symptoms and Treatment Skinsight 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 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.