Clinical Challenge: Dark Lesion on Lower Lip MPR Figure 1 from Oral melanotic macule a case report. Semantic Scholar Pigmented macular lip lesion Clinical Advisor Removal of lip pigmentation with our Alma Q laser. Such lip spots (aka labial melanotic macules) appear for no apparent reason. Similar spots can appear due to smoking, sun damage, drug reactions,
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melanotic macule of lip Labial Lentigo (labial melanotic macule)