Pigmented Lesions of the Oral Mucosa Pocket Dentistry 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. Pigmented (Purple or Brown) Lesions in the Mouth Pigmented (Purple or Brown) Lesions in the Mouth Kazemi Oral Surgery Facialart.com Does anyone know what this black mark on my lip is? Started last August so it's I've had it nearly a year, was living in Spain at the time for 6 months Labial melanotic macule 3 sessions of Q switched Nd:YAG and the pigment has cleared beautifully. Precise targeting. Minimal downtime. Predictable results. #lippigmentation #lasertreatmentclinic