Spot the Dot! Growths on the lips are not too common. Clinically, this was consistent with a labial melanotic macule (aka freckle on the lip). These are benign growths which can be Oral Melanotic Macule: Symptoms and Treatment Skinsight Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome Melanotic Macules, Naevi, and Melanoma Springer Nature Link What Caused These Multiple Hyperpigmented Macules of the Mouth? Melanotic Macule Lip TikTok