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. Mucosal melanocytic macules Oral Melanotic Macule: Symptoms and Treatment Skinsight Pigmented Lesions of the Oral Cavity Pocket Dentistry Dental Update Malignant oral melanoma: how to spot it and how it is managed Dental Update