Removal of a melanotic macule on the lip with Q switched laser before and after photos taken 3 months apart, after a single treatment #dermatologist #dermatology #laser #laserderm #ottawaskincare #toc #ottawalaserclinic #cosmetics # Labial melanotic macule Does anyone know what this black mark on my lip is? Started last August so it's I've had it nearly a year, was living in Spain at the time for 6 months 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.