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. Labial Lentigo (labial melanotic macule) Cancer Therapy Advisor Citalopram Induced Oral Melanotic Macules in a Female Patient and a Review of the Literature Cureus Laser Lip Treatment for Lip Discoloration: Patient Transformation Mucosal melanocytic macules