Oral Melanotic Macule: Symptoms and Treatment Skinsight Common Birthmarks Cancer Therapy Advisor 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 Pigmented (Purple or Brown) Lesions in the Mouth Pigmented (Purple or Brown) Lesions in the Mouth Kazemi Oral Surgery Facialart.com Melanoma Signs & Symptoms Moffitt