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 Labial Macules: Dark Spots on the Lip Dermatology Advisor a Melanotic macule at the wetdry line of the lower lip. b Melanotic Download Scientific Diagram Pigmented Lesions of the Oral Mucosa Springer Nature Link
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melanotic macule causes Figure 1 from Oral melanotic macule--a case report