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 Pathology Outlines Melanotic macule Mucosal melanocytic macules a Melanotic macule at the wetdry line of the lower lip. b Melanotic Download Scientific Diagram Oral Melanotic Macule MEDizzy Labial Lentigo (labial melanotic macule) Cancer Therapy Advisor