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 Labial Lentigo (labial melanotic macule) Cancer Therapy Advisor Oral Melanotic Macule: Symptoms and Treatment Skinsight Labial Melanotic Macules in Two Pediatric Patients of Chinese Descent With Atopic Dermatitis Katsiaunis 2025 Pediatric Dermatology Wiley Online Library
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labial melanotic macule upper lip DermDx: Brown Macule on Lip