Lingual melanotic macule the first case report in an adult patient* Anais Brasileiros de Dermatologia What is the diagnosis for pigmentation around mouth? What Causes Skin Pigmentation? How Can You Remove Them? The Clifford Clinic Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome Perioral Pigmentation One Area. Many Diagnoses. Dark skin around the mouth is one of the most common concerns I see in my OPD but it is never just tanning. Becker Melanosis (Becker Nevus) MD Searchlight