Pathology Outlines Melanotic macule In the process of removing a Labial Melanotic Macule. A Labial Melanotic Macule is a well defined, oval, brown to black, flat patch on the central third of the lower lip, as seen 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 Simultaneous occurrence of melanocytic nevus and melanotic macule in the vermilion of the lower lip ScienceDirect Melanotic Macules, Naevi, and Melanoma Springer Nature Link