Melanotic macules of the tongue in a newborn Journal of the American Academy of Dermatology Intra oral photograph of the lesion, melanotic macule as well as the Download Scientific Diagram AD :: Annals of Dermatology Melanotic Macules, Naevi, and Melanoma Springer Nature Link 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