Mystery behind labial and oral melanotic macules: Clinical, dermoscopic and pathological aspects of Laugier Hunziker syndrome I've had this dark ring on my upper lip for 5+ years now it doesn't go away please help : r 30PlusSkinCare What Caused These Multiple Hyperpigmented Macules of the Mouth? Tiny brown spot on the lip? Don't ignore it. A melanotic macule is a small, well circumscribed brown to black oral lesion most commonly seen on the lower lip and a high yield ADC exam favourite. Melanotic Macules, Naevi, and Melanoma Springer Nature Link