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soft fluid-filled cyst on the inner lower lip, caused by minor salivary gland duct trauma Venous lake dark blue or purple soft compressible lesion caused by a dilated venule, typically on the lower lip vermilion of older adults Labial melanotic macule flat brown or black pigmented patch on the lip, similar to a freckle Fibroma firm fibrous nodule, often on inner lip from minor friction trauma Squamous papilloma small benign warty growth, sometimes HPV-related Sebaceous gland prominence (Fordyce spots) small yellowish papules on the vermilion