Labial melanotic macule Should I get a 2nd opinion about these freckles on my lips from another dermatologist? Last time they say it's just sun spots but the bottom one in particular still keeps me Figure 1 from Oral melanotic macule a case report. Semantic Scholar 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 DermDx: Brown Macule on Lip Dermatology Advisor