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 Oral pigmented lesions: a pragmatic approach to diagnosis and management Faculty Dental Journal QSwitched 785 nm laser in the treatment of labial melanotic macules Gallo 2024 Skin Research and Technology Wiley Online Library Dermoscopy of venous lake on the lips: A comparative study with labial melanotic macule PLOS One
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melanotic macule lip Lenticular melanotic macule on the lower lip of a Laugier-Hunziker