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 lower lips. Lip Melanotic Macule Holistic Removal TikTok Pathology Outlines Melanotic macule Oral Melanotic Macule: Symptoms and Treatment Skinsight
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melanotic macule lower lip Figure 9 from Pigmented lesions of the oral cavity: review, differential diagnosis, and case presentations