Any idea what's on my lips? : r Blackskincare Mucosal melanocytic macules 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. Spot the Dot! Growths on the lips are not too common. Clinically, this was consistent with a labial melanotic macule (aka freckle on the lip). These are benign growths which can be Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Pigmented macular lip lesion Clinical Advisor