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. Pigmented Oral Lesions: Clues to Identifying the Potentially Malignant Consultant360 A brown macule on the vermilion border of the lower lip. Download Scientific Diagram A collection of resources for RACGP exams Next Gen GP Text Book live webinars AKT and KFP questions