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. Skin Concerns] 25 y.o. male. Got this 4 years ago during a winter when my lips kept cracking from dryness. Anything I can do to remove the black spot? : r SkincareAddiction melanotic macule Keyword Search Science Photo Library Oral melanoacanthoma: a case report and review of the literature Journal of Medical Case Reports Springer Nature Link Pigmented oral lesion in a patient with metastatic melanoma Indian Journal of Dermatology, Venereology and Leprology Oral Melanotic Macule: Symptoms and Treatment Skinsight