Oral Melanotic Macule: Symptoms and Treatment Skinsight 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 Congenital lingual melanotic macule: an underreported entity? European Journal of Pediatric Dermatology COM Jan. 2008 Diagnosis UW School of Dentistry 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 Pigmented Lesions of the Oral Mucosa Pocket Dentistry