Oral Mucosal Melanosis IntechOpen Multifocal Pigmentation of the Oral Cavity The Journal of the American Dental Association Oral melanotic macule Mcula melantica oral Mariana Villarroel Dorrego Oral Melanotic Macule: Symptoms and Treatment Skinsight Lip melanotic macula Hoogstra Medical Centers 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.