what is melanotic macules 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 Oral Melanotic Macule: Symptoms and
Description
This indicates a specific effect on appetitive sexual behavior, suggesting its potential use in treating female sexual arousal disorders

Gitto E, Aversa S, Salpietro CD, Barberi I, Arrigo T, Trimarchi G, et al

It had semi-opaque pigmentation that applied evenly but pulled into my lip lines noticeably

This also indicates possible receptor desensitization or compensatory mechanisms
