Mucosal melanocytic macules Pigmentation Document Gale OneFile: Health and Medicine Pathology Outlines Melanotic macule Clinical Challenge: Dark Lesion on Lower Lip MPR 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 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