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 What Caused These Multiple Hyperpigmented Macules of the Mouth? Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 Lingual melanotic macule the first case report in an adult patient* Anais Brasileiros de Dermatologia