Dermoscopy of venous lake on the lips: A comparative study with labial melanotic macule PLOS One LABIAL LENTIGO, Labial Lentigo also called a labial melanotic macule, is a harmless, small, flat, brown spot on the lip. It can develop after repeated sun exposure. In most cases, labial lentigo 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 Pigmented Lesions of the Oral Mucosa Pocket Dentistry