Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 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 Pigmented lesions of the oral mucosa and perioral tissues: a flow chart for the diagnosis and some recommendations for the management Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics Pigmented (Purple or Brown) Lesions in the Mouth melanotic macule Archives Kazemi Oral Surgery Facialart.com Oral melanotic macula on the upper gingival mucosa on a 40 year old Download Scientific Diagram