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. Labial melanotic macule Labial melanotic macule (brown spot on lip) (Stony Brook Case 1) dermatology dermatopathology YouTube Oral melanotic macule" Lingual melanotic macule the first case report in an adult patient* Anais Brasileiros de Dermatologia Oral Mucosal Melanosis IntechOpen