Lip pigmentation Labial melanotic macule Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome Focal melanocytic lesions of the oral mucosa: An epidemiological and morphological study Santana 2023 Oral Diseases Wiley Online Library 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.