Pigmented Lesions of the Oral Mucosa Pocket Dentistry Labial melanotic macule. B). Increased numbers of me lanocytes along Download Scientific Diagram Pigmented (Purple or Brown) Lesions in the Mouth Pigmented (Purple or Brown) Lesions in the Mouth Kazemi Oral Surgery Facialart.com Mucosal melanocytic macules 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.