Brown spots, especially on the lips, can be alarming to some. In some instances it can indicate rare oral mucosal melanoma, however in this case it was a non cancerous labial melanotic macule. Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome Kiss and Tell: Variations of Normal and Pathology of the Lips Today's RDH Multifocal pigmentation of the oral mucosa The Journal of the American Dental Association Oral melanotic macule Stock Image C067 2477 Science Photo Library