Removal of a melanotic macule on the lip with Q switched laser before and after photos taken 3 months apart, after a single treatment #dermatologist #dermatology #laser #laserderm #ottawaskincare #toc #ottawalaserclinic #cosmetics # Oral melanoacanthoma and oral melanotic macule: a report of 8 cases, review of the literature, and immunohistochemical analysis Summit Enlighten Laser to treat labial melanotic macules on the lip before and after. Facebook 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, Oral pathology: Noting a pigmented macule that often presents a diagnostic dilemma Registered Dental Hygienists 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.