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 melanotic macule 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 Labial Lentigo (labial melanotic macule) Cancer Therapy Advisor Dermoscopy of venous lake on the lips: A comparative study with labial melanotic macule PLOS One