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 Mucosal melanocytic macules Oral Mucosal Melanosis IntechOpen This lovely patient was thrilled with her beautiful result after laser treatment of oral melanotic macules. I share this case to educate: laser treatment requires accurate diagnosis, an understanding Oral Melanotic Macule: Symptoms and Treatment Skinsight