Pigmented (Purple or Brown) Lesions in the Mouth Pigmented (Purple or Brown) Lesions in the Mouth Kazemi Oral Surgery Facialart.com Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Spot the Dot! Growths on the lips are not too common. Clinically, this was consistent with a labial melanotic macule (aka freckle on the lip). These are benign growths which can be Pigmented macular lip lesion Clinical Advisor Taint melanotic of the lip vaporization laser UNILASER MDICA