This lovely patient was thrilled with her beautiful result after laser treatment of oral melanotic macules. I share this case to educate: laser treatment requires accurate diagnosis, an understanding of the differential Dark Black Spot on Lip Dermatologist in Roorkee 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. Labial melanotic macule Stock Image C057 2077 Science Photo Library Lenticular melanotic macule on the lower lip of a Laugier Hunziker Download Scientific Diagram