Congenital Melanotic Macules of the Tongue The Journal of Pediatrics Lenticular melanotic macule on the lower lip of a Laugier Hunziker Download Scientific Diagram dermoscopy: A pigmented labial lesion Melanotic macule. Benign. Dark spot on labia (or lip). Analogous to lentigo simplex. Hyperpigmented basal keratinocytes & dermal melanophages. Slight in single basal melanocytes; NO nests. More info like this in A cross sectional study of physiologic volar melanotic macules: Demographic, historical, clinical, and dermatoscopic features of a common yet neglected pigmentary variant in individuals with skin of color Journal of the American