Pigmentation Document Gale Academic OneFile 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 Figure 2 from Oral pigmentation Semantic Scholar Pigmented Lesions of the Oral Cavity Pocket Dentistry A Rare Case of Oral Mucosal Pigmentation: Differential Diagnosis and Case Presentation JCDA