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 Kiss and Tell: Variations of Normal and Pathology of the Lips Today's RDH The Prevalence of Oral Pigmented Lesions among Sample of Dental Students. Spot the Dot! Growths on the lips are not too common. Clinically, this was consistent with a labial melanotic macule (aka freckle on the lip). These are benign growths which can be Labial Macules: Dark Spots on the Lip Dermatology Advisor A collection of resources for RACGP exams Next Gen GP Text Book live webinars AKT and KFP questions