Melanotic macules can be found on the buccal mucosa, lip, palate, alveolar ridge and gingiva. Melanotic macules are benign pigmented lesions that are found in the oral cavity. Clinically presentation of melanotic macules are typically a brown, black, blue or grey area that is well circumscribed, lesions are usually less than 10 mm in diameter but can be larger in some cases. Vermillion border of the lips is the most common site to find melanotic macules.