Pigmented (Purple or Brown) Lesions in the Mouth Pigmented (Purple or Brown) Lesions in the Mouth Kazemi Oral Surgery Facialart.com 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 Pigmented Lesions of the Oral Cavity Oral and Maxillofacial Surgery Clinics Pigmented (Purple or Brown) Lesions in the Mouth Pigmented (Purple or Brown) Lesions in the Mouth Kazemi Oral Surgery Facialart.com Oral Melanotic Macule: Symptoms and Treatment Skinsight Multifocal pigmentation of the oral mucosa The Journal of the American Dental Association