Oral Melanotic Macule: Symptoms and Treatment Skinsight Congenital Melanotic Macule of the Tongue: Report of Two Cases and Literature Review Head and Neck Pathology Springer Nature Link Melanosis and Lentiginosis (benign) Vulvovaginal Disorders Oral Melanotic Macule: Symptoms and Treatment Skinsight 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.