Melanotic macule. Benign. Dark spot on labia (or lip). Analogous to lentigo simplex. Hyperpigmented basal keratinocytes & dermal melanophages. Slight in single basal melanocytes; NO nests. More info like this in Melanocytic Nevus: What Is It, Causes, Signs and Symptoms, and More Osmosis How Can You Tell if It's Melanoma or Just a Mole? Medical vocabulary: What does Hutchinson's Melanotic Freckle mean YouTube This lovely patient was thrilled with her beautiful result after laser treatment of oral melanotic macules. I share this case to educate: laser treatment requires accurate diagnosis, an understanding