Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Oral melanoma and other pigmentations: when to biopsy? Lambertini 2018 Journal of the European Academy of Dermatology and Venereology Wiley Online Library DermDx: Brown Macule on Lip Dermatology Advisor Labial melanotic macule 3 sessions of Q switched Nd:YAG and the pigment has cleared beautifully. Precise targeting. Minimal downtime. Predictable results. #lippigmentation #lasertreatmentclinic 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.