What Caused These Multiple Hyperpigmented Macules of the Mouth? In the process of removing a Labial Melanotic Macule. A Labial Melanotic Macule is a well defined, oval, brown to black, flat patch on the central third of the lower lip, as seen 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 Oral hyperpigmentation Clinical Advisor and Lights for Treating Pigmented Lesions Plastic Surgery KeyPlastic Surgery Key Labial melanotic macules in atopic dermatitis. (a) Multiple macular Download Scientific Diagram