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 The labial melanotic macule: a review of 79 cases and Lights for Treating Pigmented Lesions Plastic Surgery KeyPlastic Surgery Key In the process of removing a Labial Melanotic Macule. A Labial Melanotic Macule is a well defined, oval, brown to black, flat patch on the central third of the lower lip, as seen