Mara Ever wondered what those little brown spots are that are often found on the lip? Many refer to them as a freckle but the medical term is melanotic macules. This lovely patient was thrilled with her beautiful result after laser treatment of oral melanotic macules. I share this case to educate: laser treatment requires accurate diagnosis, an understanding Macular Pigmented Oral Mucosal Lesions: An Amalgam Tattoo Case Report Dentistry Today Dark Black Spot on Lip Dermatologist in Roorkee 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. dermoscopy: A pigmented labial lesion