Removal of a melanotic macule on the lip with Q switched laser before and after photos taken 3 months apart, after a single treatment #dermatologist #dermatology #laser #laserderm #ottawaskincare #toc #ottawalaserclinic #cosmetics # Oral Melanotic Macule: Symptoms and Treatment Skinsight A flat and oval shaped melanotic macule on the vermilion border of the Download Scientific Diagram 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.