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. Table 3 from Dermoscopy of venous lake on the lips: A comparative study with labial melanotic macule Semantic Scholar The labial melanotic macule: a review of 79 cases Understanding Lip Spot Causes and Treatments
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labial melanotic macule lip Taint melanotic of the lip vaporization laser – UNILASER MÉDICA