Pigmented lesions of the oral mucosa and perioral tissues: a flow chart for the diagnosis and some recommendations for the management ScienceDirect Melanotic macules of the tongue in a newborn Journal of the American Academy of Dermatology Oral melanotic macule and primary oral malignant melanoma: Epidemiology, location involved, and clinical implications Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics a Melanotic macule at the wetdry line of the lower lip. b Melanotic Download Scientific Diagram 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 What to do with pigmented oral lesions?