Dermoscopy of venous lake on the lips: A comparative study with labial melanotic macule PLOS One Oral Melanotic Macule MEDizzy 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 Taint melanotic of the lip vaporization laser UNILASER MDICA Melanotic macule. Benign. Dark spot on labia (or lip). Analogous to lentigo simplex. Hyperpigmented basal keratinocytes & dermal melanophages. Slight in single basal melanocytes; NO nests. More info like this in