Matt 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 Does anyone know what this black mark on my lip is? Started last August so it's I've had it nearly a year, was living in Spain at the time for 6 months Labial Lentigo (labial melanotic macule) Cancer Therapy Advisor Labial melanotic macule (brown spot on lip) (Stony Brook Case 1) dermatology dermatopathology Mucosal melanocytic macules